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The magazine that’s all about your hearing<br />
THE HEariNg TEsT…<br />
How do i persuade<br />
a loved one to book<br />
a consultation?<br />
page 8<br />
Hearing aids:<br />
even more effective!<br />
page 13<br />
Treat yourself<br />
to wireless for<br />
watching TV<br />
page 20<br />
Volume 5, Number 2, 2012<br />
plEasE TakE oNE<br />
FREE<br />
interview with<br />
Marie-Josée Taillefer<br />
Making deafness visible!<br />
page 3<br />
ENT’s rEporT<br />
Cholesteatoma<br />
page 5
2<br />
Editorial<br />
Pay attention<br />
hearing loss can creep<br />
up on you!<br />
at <strong>Lobe</strong> Magazine,<br />
we have made it<br />
our mission to raise<br />
awareness about<br />
the importance<br />
of taking good<br />
care of your hearing. It is always<br />
sad to see people isolate themselves<br />
from their families simply<br />
because they can no longer follow<br />
conversations.<br />
Once again, this issue focuses<br />
on the various telltale signs of<br />
hearing loss. It is full of tips to<br />
help you assist your hearingimpaired<br />
loved ones as they take<br />
the necessary steps to maintain<br />
their quality of life.<br />
an aging ear is a natural<br />
phenomenon.<br />
Just as presbyopia often<br />
appears in aging eyes, presbycusis<br />
is the result of the hearing system’s<br />
normal aging process.<br />
The biggest problem with<br />
presbycusis is its gradual onset.<br />
Because it develops so slowly, a<br />
person may not be aware they<br />
have the condition, at least not<br />
in its early stages. People often<br />
blame their hearing problem on<br />
lobe MAgAzine www.lobe.ca<br />
others and complain that those<br />
around them are not speaking<br />
clearly, not enunciating properly<br />
or are not loud enough.<br />
Certain conditions will make<br />
it more obvious that a person<br />
is having trouble making out<br />
speech:<br />
� noisy environments (a lively<br />
meal, a crowded pub, public<br />
transportation);<br />
� conversations that take place<br />
at a distance (such as from one<br />
room to another);<br />
� several people talking at the<br />
same time (meetings, debates);<br />
� large and sparsely furnished<br />
spaces (churches, conference<br />
halls).<br />
If you see these signs in a<br />
loved one, friend or co-worker, it<br />
is a good idea to approach them<br />
about having their hearing tested.<br />
Happy reading! �<br />
Martin Cousineau<br />
Volume 5, Number 2, 2012<br />
editor<br />
Martin Cousineau, President<br />
mcousineau@lobe.ca<br />
editor-in-Chief<br />
Sabrina grégoire<br />
sgregoire@lobe.ca<br />
Columnists<br />
Cédric Bégnoche, Audioprosthetist<br />
Simon Dufort, Audioprosthetist<br />
paul Fontaine, Audioprosthetist<br />
Martin Fortin, MOA, Audiologist<br />
Sébastien Lanthier, Audioprosthetist<br />
France Morrissette, Audioprosthetist<br />
Jonathan plouffe, Audioprosthetist<br />
Michèle Veilleux, MPA, Audiologist<br />
advisory committee<br />
Josée Boulanger<br />
annie Dumontier<br />
Michelle Fournier<br />
Martin Fortin<br />
Natacha Ioannoni<br />
Francine Morrissette<br />
Michèle Veilleux<br />
Rafif Zarka<br />
graphic designer<br />
Véronique Labbé<br />
Novalux Conception Impression inc.<br />
TM<br />
Rights and responsibilities<br />
Any translation, reproduction or adaptation of<br />
texts, illustrations and photos in this work, for<br />
any reason whatsoever, in whole or in part, is<br />
strictly prohibited without written permission<br />
from the editor.<br />
The opinions expressed in articles published<br />
by <strong>Lobe</strong> Publications are the responsibility of<br />
the author.<br />
Legal deposit<br />
ISSN 1913-0287<br />
Bibliothèque nationale du Québec, Montréal<br />
National Library of Canada, Ottawa<br />
<strong>Lobe</strong> Publications<br />
3520, rue de l’Hêtrière, bureau 103<br />
Saint-Augustin-de-Desmaures QC G3A 0B4<br />
Tel.: 418 877-7222<br />
Fax: 418 872-1451<br />
Email: courrier@lobe.ca<br />
www.lobe.ca<br />
<strong>Lobe</strong> Magazine is published in English three<br />
times per year by <strong>Lobe</strong> Publications.<br />
Printed in Canada<br />
Subscribe to INFO-<strong>Lobe</strong><br />
The e-newsletter that keeps you up to date<br />
with the latest news on hearing health, speech<br />
and language. Visit www.lobe.ca<br />
All rights reserved
All rights reserved<br />
Marie-Josée Taillefer is the<br />
spokesperson for the<br />
inaugural fundraising campaign<br />
for the Fondation Sourdine<br />
pour l’École oraliste de Québec<br />
pour enfants malentendants ou<br />
sourds, and she met our interview<br />
request with enthusiasm.<br />
As the inspirational parents of<br />
two deaf children, Marie-Josée<br />
Taillefer and her husband René<br />
Simard understand better than<br />
anyone the importance of our<br />
awareness campaign, which seeks<br />
to inform people about the impact<br />
hearing has on our daily lives.<br />
When Olivier was born, Marie-<br />
Josée and René thought he was simply<br />
a very calm baby. An extremely<br />
calm baby. Far from silent, Olivier’s<br />
babble served to mask his deafness.<br />
But over time, his small sounds<br />
became more and more infrequent.<br />
Since he couldn’t hear them, he did<br />
not develop the habit of repeating<br />
after them. However, like all babies,<br />
he could sense vibrations. If an<br />
Over a period of five years, this major<br />
campaign will raise 2.5 million dollars<br />
to go towards acquiring a building<br />
that will house the École oraliste<br />
de Québec. The money will also be<br />
used to create an endowment fund<br />
to ensure the school can continue to<br />
provide services and to build an intensive<br />
education program for students.<br />
“We decided to support this campaign<br />
because we know that for deaf<br />
or hearing-impaired children, proper<br />
education is crucial to their development.<br />
This is why we are very happy to<br />
Interview with Marie-Josée Taillefer:<br />
Making deafness visible!<br />
object fell on the floor, it would<br />
startle him—not because of the<br />
noise, but because he could feel it.<br />
After a while, Marie-Josée and René<br />
real ized that they were not able to<br />
calm their son’s crying with their<br />
voices alone. Olivier would only<br />
quiet down at the sight of his parents.<br />
That was when they decided<br />
to have him tested. At 11 months,<br />
Olivier’s deafness was diagnosed.<br />
EArLy CHILDHOOD<br />
INTErVENTION IS CrITICAL!<br />
When Rosalie was born two years<br />
later, it was a completely different<br />
story. At that time, the hospital was<br />
testing a new device for detecting<br />
deafness in newborns, and they<br />
soon diagnosed Rosalie as being<br />
deaf as well. For the couple, the<br />
news came as a shock. Their experience<br />
with Olivier had shown<br />
them how important it is to act<br />
quickly, equipping the child with<br />
hearing aids and adopting appropriate<br />
behaviours right away to<br />
avoid developmental delays. Early<br />
intervention is crucial because language<br />
develops in a child before<br />
the age of three. “For example, if a<br />
lend our support to this extraordina ry<br />
school,” says Marie-Josée.<br />
Throughout our interview, Marie-<br />
Josée displayed an incredible gener-<br />
child begins to talk at one year old,<br />
it’s because he’s been hearing words<br />
for a whole year,” says Marie-Josée.<br />
“Imagine the delays a child would<br />
experience if he only started to hear<br />
at the age of five!”<br />
Marie-Josée points to the hidden<br />
nature of deafness, which is<br />
not an easily detected disability.<br />
“People don’t usually think their<br />
child’s hearing could be deficient;<br />
parents take it for granted that<br />
their child can hear well from birth.<br />
Imagine—we were with our son<br />
24 hours a day, and even though<br />
Olivier is deaf, we had to piece<br />
together all these little signs before<br />
we became suspicious and decided<br />
to have his hearing tested. Think of<br />
what it would be like with a child<br />
who has mild or moderate deafness.<br />
Often, parents will become aware of<br />
their child’s hearing loss only once<br />
he or she starts school and displays<br />
difficulty with reading and writing.<br />
If you have even the slightest<br />
suspicion, you should consult an<br />
audiologist to make sure,” advises<br />
Marie-Josée.<br />
rENé aNd MariE-JoséE HaVE agrEEd To bE THE spokEspEoplE for THE firsT<br />
fuNdraisiNg caMpaigN for THE foNdaTioN sourdiNE pour l’écolE oralisTE<br />
dE QuébEc pour ENfaNTs MalENTENdaNTs ou sourds.<br />
When we asked Marie-Josée<br />
to tell us what her ultimate<br />
goal was, she replied without<br />
hesitation: “To make deafness<br />
visible!” Indeed, the disability<br />
receives scant attention.<br />
osity of spirit, and we would like to<br />
thank her from the bottom of our<br />
hearts for this enriching and enlightening<br />
encounter. �<br />
www.sourdine.qc.ca<br />
3<br />
To read the full interview,<br />
visit www.lobe.ca.<br />
lobe MAgAzine www.lobe.ca
4<br />
Volume 5, Number 2, 2012<br />
cédric bégnoche<br />
Audioprosthetist<br />
Nathalie bisson<br />
Audioprosthetist<br />
Josée boulanger<br />
Audioprosthetist<br />
Julie caya<br />
Audioprosthetist<br />
Joey champagne<br />
Audioprosthetist<br />
paul côté<br />
Audioprosthetist<br />
Martin cousineau<br />
Audioprosthetist<br />
skueda dessureault-Tremblay<br />
Audioprosthetist<br />
karl drouin<br />
Audioprosthetist<br />
simon dufort<br />
Audioprosthetist<br />
annie dumontier<br />
Audioprosthetist<br />
Janie durette<br />
Audioprosthetist<br />
paul fontaine<br />
Audioprosthetist<br />
Michelle fournier<br />
Audioprosthetist<br />
Elaine gagnon<br />
Audioprosthetist<br />
christophe grenier<br />
Audioprosthetist<br />
stéphanie Hamel<br />
Audioprosthetist<br />
lobe MAgAzine www.lobe.ca<br />
Natacha ioannoni<br />
Audioprosthetist<br />
francis laflamme<br />
Audioprosthetist<br />
sonia lamarche<br />
Audioprosthetist<br />
sébastien lanthier<br />
Audioprosthetist<br />
étienne lefebvre<br />
Audioprosthetist<br />
stéphanie Marceau-dugal<br />
Audioprosthetist<br />
france Morrissette<br />
Audioprosthetist<br />
francine Morrissette<br />
Audioprosthetist<br />
andré ouellet<br />
Audioprosthetist<br />
Jonathan plouffe<br />
Audioprosthetist<br />
Jacinthe poitras<br />
Audioprosthetist<br />
annie potvin<br />
Audioprosthetist<br />
Nicole Tourigny<br />
Audioprosthetist<br />
audrey Tremblay<br />
Audioprosthetist<br />
Michel Zalatan<br />
Audioprosthetist<br />
Hugues baril<br />
MOA, Audiologist<br />
Hélène beaucher<br />
MOA, Audiologist<br />
Association québécoise de défense des droits<br />
des personnes retraitées et préretraitées<br />
TM<br />
Our PArTNErS<br />
Association québécoise de défense des droits<br />
des personnes retraitées et préretraitées<br />
Joëlle bélanger<br />
MPA, Audiologist<br />
élise boucher-doddridge<br />
MPA, Audiologist<br />
kathia faust<br />
MPA, Audiologist<br />
Martin fortin<br />
MOA, Audiologist<br />
linda gagnon<br />
MOA, Audiologist<br />
audrey goulet<br />
MPA, Audiologist<br />
Joanie lessard<br />
MPA, Audiologist<br />
Marie-Ève lessard<br />
MPA, Audiologist<br />
Justine ratelle<br />
MPA, Audiologist<br />
Nadine Tougas<br />
MPA, Audiologist<br />
Jessica Tremblay<br />
MPA, Audiologist<br />
Michèle Veilleux<br />
MPA, Audiologist<br />
ann Yuile-campbell<br />
M.S. Aud (C), Audiologist<br />
rafif Zarka<br />
MPA, Audiologist<br />
Marie-claude fortier<br />
MOA, Speech-language<br />
Pathologist<br />
sylvie Thivierge<br />
MOA, Speech-language<br />
Pathologist<br />
lace des aînés<br />
DE L’ÉNERGIE À REVENDRE !<br />
Just one call.<br />
We listen. We care. TM<br />
OUR missiOn The professionals who practice in <strong>Lobe</strong> Santé auditive et communication multidisciplinary<br />
clinics share the goal of offering people who have hearing, language, or speech challenges every possible<br />
means of improving their quality of life by using the most current technologies and by applying a<br />
multidisciplinary patient-centered approach.<br />
TM<br />
Tanya béliveau<br />
Specialized Educator<br />
Myriam bouchard<br />
Specialized Educator<br />
Valérie boucher<br />
Specialized Educator<br />
Myriam boulanger<br />
Specialized Educator<br />
Marie-Julie carbonneau<br />
Specialized Educator<br />
stéphanie desjardins<br />
Specialized Educator<br />
émilie fournier<br />
Specialized Educator<br />
isabelle galarneau<br />
Specialized Educator<br />
Marie-pier gervais<br />
Specialized Educator<br />
Marie-Ève guay<br />
Specialized Educator<br />
stéphanie guillemette<br />
Specialized Educator<br />
Estelle lamonde<br />
Specialized Educator<br />
Marie-christine lavoie<br />
Specialized Educator<br />
audrey racine<br />
Specialized Educator<br />
annick rousseau<br />
Specialized Educator<br />
sarah roy<br />
Specialized Educator<br />
Marianne Vermette<br />
Specialized Educator<br />
All rights reserved
All rights reserved<br />
Cholesteatoma<br />
The human ear is susceptible to a thousand<br />
and one problems: ear infections<br />
are common among children while the<br />
elderly often experience presbycusis<br />
(age-related hearing loss). Cholesteatoma,<br />
on the other hand, is a disease<br />
marked by cysts on the eardrum and in the middle<br />
ear.<br />
Cholesteatoma is a type of chronic ear infection<br />
or long-term inflammation of the eardrum or middle<br />
ear. It consists of a cyst or retraction pocket on the<br />
eardrum. Cholesteatoma is sometimes congenital, but<br />
most often it results from chronic tympanic membrane<br />
retraction or a perforated eardrum. Cholesteatoma is<br />
more frequent among children under 15, but it can<br />
occur at any age and usually appears in only one ear.<br />
Patients with cholesteatoma may experience hearing<br />
loss or ear discharge, but symptoms are sometimes<br />
very mild.<br />
HEariNG<br />
ENt’s rEport<br />
an eNT can perform a microscopy exam to diagnose<br />
problems of the eardrum and the middle<br />
ear, including cholesteatoma. a computed tomography<br />
(CT) scan of the ear is also often useful.<br />
Cholesteatoma must be surgically treated by an<br />
ENT specialist. The condition often requires longterm<br />
monitoring. It should be treated quickly to avoid<br />
certain complications such as infections (mastoiditis,<br />
meningitis), permanent deafness, dizziness or facial<br />
paralysis.<br />
If you are experiencing prolonged ear discharge, do<br />
not hesitate to consult an ENT doctor. �<br />
Dr. Yanick Larivée<br />
Ear, nose and throat (ENT) specialist<br />
Head and neck surgeon<br />
President of the Association of Oto-rhino-laryngology<br />
and Maxillo-facial Surgery of Quebec<br />
lobe MAgAzine www.lobe.ca<br />
5
6<br />
HEariNG<br />
audioprostHEtist’s rEport<br />
Two ears:<br />
two cerebral hemispheres<br />
The brain acts as<br />
headquarters for the<br />
central nervous system,<br />
controlling our<br />
ideas and thoughts.<br />
It is home to over<br />
a hundred billion interconnected<br />
nerve cells that transmit and<br />
receive messages from different<br />
parts of the body. These cells are<br />
the seat of intellectual, sensory and<br />
motor functions.<br />
The brain is divided into two<br />
hemispheres, and as a general rule,<br />
these are organized in the following<br />
way:<br />
The LeFT heMISpheRe<br />
The left hemisphere: The brain’s<br />
left hemisphere is the rational side,<br />
the primary centre for language,<br />
computation and analysis.<br />
The right hemisphere: The<br />
right hemisphere excels in everything<br />
visual and spatial, perception<br />
and intuition. The right hemisphere<br />
of the brain is associated<br />
with creativity and music.<br />
lobe MAgAzine www.lobe.ca<br />
The RIghT heMISpheRe<br />
Each hemisphere is subdivided<br />
by fissures forming several lobes:<br />
the limbic lobe, the insula, the<br />
frontal lobe, the parietal lobe, the<br />
occipital lobe and the temporal<br />
lobe containing the taste, memory<br />
and hearing centres. The auditory<br />
cortex is responsible for analyzing<br />
the information we receive through<br />
hearing.<br />
heaRINg (TeMpORaL LOBe)<br />
Each cerebral hemisphere processes<br />
information according to<br />
its speciality, and then forwards<br />
its results to the other half of the<br />
brain. For example, to stretch the<br />
right leg, the left hemisphere is<br />
what triggers the movement.<br />
BINauRaL heaRINg<br />
Nature has equipped us with two<br />
ears and two cerebral hemispheres.<br />
Each cerebral hemisphere analyzes<br />
the messages transmitted by both<br />
ears, which means it is important<br />
that each ear is functioning well.<br />
references:<br />
* See the article “La privation sensorielle,” <strong>Lobe</strong> Magazine, Vol. 7, No. 1, p. 8.<br />
- MArIEBS, Elaine N. Principes d’anatomie et de physiologie humaines, Éditions du renouveau pédagogique.<br />
- TOrTOrA, Gerard J., and Sandra rEyNOLDS GrABOWSkI. Principes d’anatomie et de physiologie.<br />
- PurVES, Dale (2003). Neurosciences, 2nd edition, trans. J. M. Coquery (De Boeck).<br />
- revue Audio info (April 2004).<br />
Studies show that hearingimpaired<br />
people with bilateral<br />
hearing aids describe sounds<br />
as having more clarity, intensity,<br />
proximity and softness,<br />
and report an improvement<br />
in their ability to understand<br />
conversation in noisy environments.<br />
In short, binaural hearing<br />
provides a better hearing<br />
experience than monaural<br />
hearing.<br />
Not only do our two ears allow<br />
us to hear, they also let us locate<br />
sounds in our environment. For<br />
example, your ears don’t just let<br />
you know a car is coming, they also<br />
tell you the direction from which<br />
it is arriving. With his eyes closed,<br />
a person with bilateral hearing aids<br />
(both ears corrected) is able to tell<br />
if a vehicle is arriving from the left<br />
or the right. In addition, hearing<br />
aids stimulate the reorganization<br />
mechanisms of the auditory cortex<br />
(brain plasticity) and improve cognitive<br />
and social performance.*<br />
Hearing aids “re-educate” hearing,<br />
even in the very elderly. So it is<br />
never too late to reap the benefits of<br />
modern digital technology!<br />
To learn more, do not hesitate to<br />
consult an audioprosthetist at any<br />
<strong>Lobe</strong> Santé auditive et communication<br />
multidisciplinary clinic. �<br />
France Morrissette<br />
Audioprosthetist<br />
Boisbriand and<br />
Laval • Sainte-Dorothée<br />
All rights reserved
All rights reserved<br />
Brain plasticity<br />
You have undoubtedly already heard<br />
of books or memory games that are<br />
bursting with various problems to test<br />
our memories and mental skills. They<br />
engage our brain’s ability to maintain<br />
its malleability. This phenomenon is<br />
referred to as brain plasticity. In essence, our central<br />
nervous system is perpetually reorganizing itself<br />
regardless of our age.<br />
The idea is simple: the more stimuli the brain<br />
receives, the more it reorganizes itself to better manage<br />
those stimuli. A good example of this is how sometimes<br />
the blind develop a sense of touch or hearing<br />
that is stronger than the average person’s. Many scientific<br />
experiments and studies have shown this observation<br />
to be true. Some researchers even believe that<br />
brain plastic ity could be at the centre of slowing down<br />
symptoms of Alzheimer disease in some subjects, as if<br />
the brain were compensating for having the disease.<br />
In other words, the brain continuously remodels itself.<br />
Brain plasticity is extremely important to a successful<br />
hearing aid fitting; it should definitely not<br />
be ignored. put another way, you need to give<br />
yourself some time. adapting to hearing aids is a<br />
process, not an innate ability.<br />
HEariNG aids<br />
audioprostHEtist’s rEport<br />
Today, hearing aid miniaturization allows us to<br />
brush aside most pejorative stereotypes about the<br />
devices. The adaptation period remains essential to the<br />
success of a hearing aid fitting. People can take days<br />
or weeks to find their auditory markers and reorganize<br />
the processing of this new information by the various<br />
nerve endings. Your audioprosthetist and specialized<br />
educator will support you during this adaptation<br />
period. In addition, always keep in mind that time is<br />
a determining factor in this process, so give yourself a<br />
chance to see the positive changes over time.<br />
BrAIN PLASTICITy<br />
FrOM ANOTHEr ANGLE<br />
It can work the other way too: a brain receiving a<br />
reduced quantity of information will slowly lose the<br />
ability to process that information. This phenomenon<br />
is referred to as sensory deprivation.<br />
people who have been hearing-impaired and<br />
without a hearing aid for several years will face a<br />
greater challenge during the period in which they<br />
are adapting to their hearing aid. Therefore, it is<br />
imperative to proceed with a hearing aid fitting as<br />
soon as hearing loss is diagnosed.<br />
Considering that a person with hearing loss takes<br />
an average of seven years before consulting a professional,<br />
it is not surprising that the adaptation period<br />
will be longer.<br />
Do not hesitate to consult an audioprosthetist at any<br />
<strong>Lobe</strong> Santé auditive et communication multidisciplinary<br />
clinic for more information. �<br />
Simon Dufort<br />
Audioprosthetist<br />
Montréal • Saint-Laurent<br />
references:<br />
- ArLINGEr, S. “Negative consequences of uncorrected hearing loss−a review,”<br />
International Journal of Audiology (2003); 42(2), 17-20.<br />
- PHILIBErT, B., et al. “The auditory acclimatization effect in sensorineural hearing-impaired<br />
listeners: Evidence for functional plasticity,” Hearing Research<br />
(2005); 131-142.<br />
- TrEMBLAy, Jessica, MPA, Audiologist.<br />
- “À la découverte de la plasticité cérébrale,” http://www.psychologies.com, page<br />
consulted on January 22, 2012.<br />
- “Les personnes à risques d’Alzheimer peuvent désormais espérer retarder<br />
l’apparition des premiers symtômes,” http://www.nouvelles.umontreal.ca, page<br />
consulted on January 22, 2012.<br />
lobe MAgAzine www.lobe.ca<br />
7
8<br />
HEariNG<br />
audioloGist’s rEport<br />
The hearing test…<br />
How do I persuade a loved<br />
one to book a consultation?<br />
It is not easy to<br />
convince the people<br />
in our lives to consult<br />
an audiologist. Deafness<br />
is commonly<br />
associated with old<br />
age, and who wants to admit to getting<br />
older with the accompanying<br />
loss of abilities? Telling someone<br />
they “don’t hear well” can therefore<br />
feel somewhat confrontational.<br />
Deafness can sneak up on<br />
people. Because it often occurs<br />
very gradually, many don’t even<br />
realize that anything is wrong with<br />
their hearing. People who fail to<br />
notice their hearing loss will often<br />
lay blame on those around them:<br />
“Everyone else mumbles—they<br />
don’t speak clearly!” is a common<br />
argument. It is hard for a person to<br />
realize they are missing sounds they<br />
can no longer hear. Bear in mind<br />
that before hearing impaired people<br />
come to terms with their deafness,<br />
they typically go through a fairly<br />
long period of denial. It can be a<br />
frustrating experience. On average,<br />
it is usually five to seven years<br />
between the time someone starts to<br />
notice a problem and the time they<br />
consult an audiologist. Some will<br />
even wait up to 15 years.<br />
There is no magic formula for<br />
persuading someone to book a<br />
consultation. Every person will<br />
react differently to the suggestion.<br />
For some, it is important to<br />
approach the topic very gently,<br />
while others will respond to a more<br />
direct approach. It can be helpful<br />
to appeal to a person’s emotions;<br />
for example, by asking them if they<br />
are bothered by their inability to<br />
understand others during family<br />
get-togethers or when they play<br />
with their grandchildren. You can<br />
lobe MAgAzine www.lobe.ca<br />
also bring up your own feelings by<br />
talking about how it makes you<br />
sad when the person avoids taking<br />
part in conversations, or frustrated<br />
when you constantly need to repeat<br />
yourself. Make sure to choose an<br />
appropriate time when the person<br />
is likely to be receptive. Above all,<br />
avoid bringing up the topic when<br />
a third person is present. Be respectful<br />
when broaching the subject<br />
and you will have a better chance of<br />
being heard.<br />
Stick to the facts, and avoid using<br />
a harsh tone or accusatory words so<br />
the person does not feel as if they are<br />
being attacked. Avoid the following<br />
expressions: “You don’t understand<br />
anything,” “You always make me<br />
repeat everything” or “Your responses<br />
don’t make any sense!” It is<br />
better to use the “I” formula: “I have<br />
the impression that you are more<br />
tired after group gatherings,” or<br />
“I think you are having more trouble<br />
under s tanding people than you used<br />
to.” It is important to let the person<br />
know that you only want what is<br />
best for them and that your goal is<br />
to improve their quality of life.<br />
Be an active listener and try to<br />
understand their point of view.<br />
Don’t force the issue.<br />
hearing health professionals<br />
are there to help people<br />
cope with hearing loss. You<br />
can let your loved one know<br />
they have nothing to lose and<br />
everything to gain by booking<br />
a consultation!<br />
You can even offer to make the<br />
process easier by arranging the<br />
appointment or accompanying<br />
them to the audiologist. For people<br />
who are dealing with hearing loss,<br />
gestures like these will certainly<br />
reduce their stress.<br />
Here are a few other helpful tips:<br />
� Leave some <strong>Lobe</strong> Magazine issues<br />
lying around to demystify the<br />
issue.<br />
� Find a reason to bring up a<br />
recently published article that<br />
may be of interest.<br />
� Make a positive comment about<br />
a neighbour’s hearing aids.<br />
� Etc.<br />
Lastly, just like our eyes, our ears<br />
need regular preventative check-ups<br />
throughout our lives, and hearing<br />
tests are recommended, especially<br />
after the age of 50.<br />
If you have any questions, please<br />
do not hesitate to contact an audiologist<br />
at a <strong>Lobe</strong> Santé auditive et<br />
communication multidisciplinary<br />
clinic. �<br />
Michèle Veilleux, MPA<br />
Audiologist<br />
Québec<br />
All rights reserved
All rights reserved<br />
When deciding if<br />
a person should<br />
wear a hearing aid,<br />
there are several<br />
factors to consider.<br />
an individual’s<br />
personality and their environment<br />
bear more or less equal<br />
consideration in determining<br />
hearing aid needs.<br />
First of all, it is important to<br />
understand that the audiogram<br />
represents only one factor. This<br />
graphic, generated by the audiologist,<br />
illustrates the degree and type<br />
of hearing loss present. It forms<br />
the basis of any hearing assessment,<br />
certainly, but bear in mind<br />
that two people with the same type<br />
of deafness can each face very different<br />
challenges.<br />
These challenges vary depending<br />
on the heaRINg-IMpaIReD<br />
peRSON’S LeVeL OF aCTIVITY. For<br />
example, people who do not lead<br />
busy social lives and who are not<br />
working will interact less frequently<br />
with others, and therefore will run<br />
up against fewer communication<br />
challenges. In addition, if they<br />
know the people with whom they<br />
usually communicate, their needs<br />
will be less acute. People who are<br />
hard of hearing will usually find it<br />
easier to communicate with friends<br />
and family as opposed to strangers.<br />
It is also important to consider<br />
the TYpe OF WORk a peRSON<br />
peRFORMS. People who engage in<br />
manual labour and who have little<br />
need to communicate with others<br />
may feel less inclined to use hearing<br />
aids than a person who attends<br />
meetings frequently, interacts with<br />
the public or who works in customer<br />
service. The actual work<br />
environment can be a factor as well.<br />
Quiet workplaces such as closed<br />
offices make it easier for hearingimpaired<br />
people to understand<br />
conversation, in contrast to noisy<br />
environments like open concept<br />
spaces that are shared with several<br />
colleagues.<br />
ReCReaTIONaL aCTIVITIeS also<br />
come into play. Life does not only<br />
happen at work—what a person<br />
does in their free time is also an<br />
important consideration. To take<br />
full advantage of leisure activities,<br />
it is important to take stock of<br />
what is required. People who participate<br />
in numerous social activities<br />
(bingo, bridge, etc.) will have<br />
greater need for a hearing aid than<br />
those who engage in solitary pastimes<br />
such as reading, sewing or<br />
embroidery.<br />
It is important to note that the<br />
aBILITY TO aDapT TO heaRINg<br />
LOSS varies greatly from one individual<br />
to another. Some people are<br />
limited in their ability to compensate,<br />
such as through lip-reading or<br />
by signalling that they have missed<br />
what was said. People who are less<br />
inclined to employ good communication<br />
strategies experience more<br />
severe consequences as a result of<br />
hearing loss, which increases the<br />
need for hearing aids.<br />
Furthermore, a person’s CapaC-<br />
ITY TO Make MeNTaL aDJuST-<br />
MeNTS hinges on their language<br />
facility (syntax and vocabulary)<br />
HEariNG aids<br />
audioloGist’s rEport<br />
DID YOu kNOW that the type of hearing aid<br />
you wear is based on your individual profile?<br />
as well as their degree of general<br />
knowledge; these make a big difference<br />
in one’s ability to understand.<br />
In addition, when the language<br />
a hearing-impaired person<br />
hears is not their mother tongue,<br />
difficulties increase, along with<br />
the need to wear hearing aids. For<br />
example, if you are learning French<br />
or enjoy frequent travel, you may<br />
find these activities very challenging<br />
once you experience hearing<br />
loss and feel a greater need for<br />
hear ing aids.<br />
Always keep in mind that to<br />
reap all the benefits of hearing aids<br />
and to facilitate their regular usage,<br />
it is important to recognize one’s<br />
own unique challenges and feel<br />
motivated to make the necessary<br />
effort!<br />
Do not hesitate to consult an<br />
audiologist at a <strong>Lobe</strong> Santé auditive<br />
et communication clinic for<br />
more information. �<br />
Michèle Veilleux, MPA<br />
Audiologist<br />
Québec<br />
lobe MAgAzine www.lobe.ca<br />
9
10<br />
QuESTIONNAIrE<br />
HEArING AND LISTENING<br />
difficulties screening<br />
For each question, place a checkmark in the circle under the answer that best describes your listening<br />
and hearing experiences. Please only use one checkmark per question and answer all the questions.<br />
Questions<br />
1. I have difficulty understanding a conversation when I am<br />
speaking with someone and there is background noise present<br />
(example: in a shopping mall, in a restaurant, in the car).<br />
Never<br />
0 point<br />
occasionally<br />
2 points<br />
often<br />
4 points<br />
always<br />
6 points<br />
� � � �<br />
2. I have to turn up the volume of the television or the radio<br />
in order to understand better. � � � �<br />
3. I have difficulty understanding conversations when a number<br />
of people are talking at the same time. � � � �<br />
4. I have difficulty hearing someone knocking at the door or<br />
hearing the doorbell ringing. � � � �<br />
5. I have difficulty hearing the telephone ringing from another<br />
room at home. � � � �<br />
6. I have difficulty understanding speech if I cannot see the face<br />
of the person talking to me. � � � �<br />
7. I have difficulty understanding speech when people talk<br />
too quickly. � � � �<br />
8. I have difficulty understanding on the phone. � � � �<br />
9. I have difficulty identifying where sounds are coming from. � � � �<br />
10. I have difficulty understanding speech when someone talks<br />
to me from another room at home. � � � �<br />
1. add up your points.<br />
1<br />
Make an appointment<br />
with an audiologist for<br />
a complete hearing evaluation.<br />
lobe MAgAzine www.lobe.ca<br />
2. add:<br />
• Below 60 years of age: 0<br />
• Betwen 60 and 64: 6<br />
• 65 years or more: 12<br />
IF YOuR TOTaL scorE is 24 or MorE,<br />
The FOLLOWINg STepS aRe ReCOMMeNDeD:<br />
2<br />
Upon your request, a copy of your hearing evaluation<br />
will be sent to your family doctor.<br />
This questionnaire was designed by Martin Fortin, MOA, audiologist, in conjunction with <strong>Lobe</strong> Santé auditive et communication.<br />
No part of this document can be reproduced without the written permission of <strong>Lobe</strong> Santé auditive et communication.<br />
To find the multidisciplinary clinic nearest you:<br />
1 866 411-5623 • www.lobe.ca<br />
3. add boxes<br />
1 and 2.<br />
If a hearing loss is identified; you will be<br />
referred to either, your family doctor,<br />
an ear-nose-throat specialist or an audioprosthetist.<br />
All rights reserved
All rights reserved<br />
Myths surrounding<br />
the use of hearing aids<br />
are you embarrassed<br />
to wear glasses<br />
because you want<br />
to keep others from<br />
knowing you have<br />
vision problems?<br />
are you always pushing off correcting<br />
your vision until later? Do<br />
you use a magnifying glass to read<br />
the newspaper instead of wearing<br />
your glasses? Then why keep your<br />
hearing problems a secret?<br />
If you have a hearing loss, why<br />
are you embarrassed about wearing<br />
hearing aids? Could it be the myths<br />
surrounding hearing aids and deafness?<br />
If so, let’s demystify them.<br />
Following are a few examples of<br />
myths that hearing health professionals<br />
often encounter.<br />
1. HEArING AIDS ArE TOO<br />
BIG; EVEry<strong>ONE</strong> WILL SEE<br />
I HAVE THEM.<br />
So? What’s important is that you<br />
hear and understand better. There<br />
are hearing aids that can be placed<br />
at the bottom of the ear canal.<br />
However, for people whose degree<br />
of hearing loss or size of auditory<br />
canal do not allow the wearing of<br />
this style of hearing aid, devices<br />
worn behind the pinna (ear flap)<br />
are much smaller and more discreet<br />
and comfortable than before.<br />
Matched to hair colour, they are<br />
essentially hidden.<br />
2. HEArING AIDS PrODuCE<br />
FEEDBACk ALL THE TIME.<br />
Feedback is increasingly rare in<br />
new hearing aids, which are much<br />
improved in this regard, with their<br />
references:<br />
* See the article “Mes appareils sifflent, est-ce normal?”, <strong>Lobe</strong> Magazine dated<br />
August 15, 2008.<br />
- kOCHkIN, S. “MarkeTrak VII: Consumer satisfaction with hearing instruments in the<br />
digital age,” The Hearing Journal, September 2005, Vol. 58, No. 9: 30-43.<br />
- www.hear-it.org<br />
anti-Larsen system (which eliminates<br />
feedback as soon as the hearing<br />
aid perceives it). If there is feedback,<br />
it is likely because the hearing<br />
aid is not properly positioned in<br />
the auditory canal or the wearer has<br />
a ear wax plug.*<br />
3. I DON’T WANT TWO;<br />
I’LL LOOk EVEN DEAFEr!<br />
Wearing two hearing aids is nothing<br />
but positive, offering better understanding<br />
in noisy situations and<br />
better spatial sound localization.<br />
The reason is simple: in most cases,<br />
hearing loss occurs in both ears. In<br />
fact, Dr. Sergei Kochkin of the Better<br />
Hearing Institute tells us that in<br />
90% of cases, hearing loss occurs in<br />
both ears and therefore, two hearing<br />
aids are needed!<br />
4. I DON’T NEED THEM;<br />
AT My AGE IT’S NOrMAL<br />
TO BE HArD OF HEArING.<br />
Presbycusis is the degeneration of<br />
the cells of the inner ear. Therefore,<br />
it is normal that with age presbycusis<br />
affects your ears. What is not<br />
normal is not doing anything about<br />
it! It’s a bit like someone suffering<br />
from presbyopia (degeneration<br />
of the cells of the eye) telling you<br />
he no longer reads the newspaper<br />
because he doesn’t see well. That<br />
makes no sense! A simple correction<br />
can fix everything and improve<br />
your quality of life in one step.<br />
5. I WON’T LIkE IT.<br />
A study shows that 92% of hear ingimpaired<br />
people who wear hearing<br />
aids are satisfied with them. This<br />
HEariNG aids<br />
audioprostHEtist’s rEport<br />
study, conducted by Dr. Kochkin,<br />
also reveals that nine out of ten<br />
people agree that their quality of<br />
life has improved since they have<br />
hearing aids. You know, the best<br />
way to find out if you’d like wearing<br />
hearing aids is to try them!<br />
Because of these myths, you<br />
are depriving yourself of the joy of<br />
hearing your grandchildren, birds<br />
singing or understanding what<br />
people are saying to you. When<br />
you meet hearing health professionals<br />
and they recommend you<br />
to wear hearing aids, understand<br />
that it is because you need them.<br />
The goal of a hearing aid is not<br />
to show everyone that you have<br />
a hearing problem, but to clearly<br />
understand the people talking to<br />
you, to help you appreciate your<br />
time with family members and<br />
friends. It simply means that you<br />
are taking care of your hearing and<br />
that you are solving a problem a<br />
lot of people have, starting with<br />
yourself.<br />
For more information, do<br />
not hesitate to contact an audioprosthetist<br />
at a <strong>Lobe</strong> Santé auditive<br />
et communication multidisciplinary<br />
clinic. �<br />
Sébastien Lanthier<br />
Audioprosthetist<br />
Sainte-Foy<br />
- kOCHkIN, S. “MarkeTrak VII: Hearing loss population tops 31 million,” The Hearing<br />
Journal, July 2005, 12: 16-29 and Fördergemeinschaft Gutes Hören.<br />
- http://www.french.youth.hear-it.org/Les-appareils-auditifs-ameliorent-la-qualite-de-vie.<br />
- BETTEr HEArING INSTITuTE, www.betterhearing.org.<br />
- CArMEN, richard, and Shelley urAM. “The Consumer Handbook on Hearing Loss &<br />
Hearing Aids: A Bridge to Healing,” The Hearing Journal, April 2012.<br />
lobe MAgAzine www.lobe.ca<br />
11
12<br />
HEariNG aids<br />
audioprostHEtist’s rEport<br />
M<br />
the negative effects<br />
When getting fitted for hearing<br />
aids, certain obstacles<br />
can influence the expected<br />
results (hearing aids + % discrimination<br />
= expected results). One<br />
such obsta cle is diminished auditory<br />
discrim i nation, represented as<br />
a percent age on your hearing test<br />
results.<br />
To determine this percentage, the<br />
audiologist has the patient listen to<br />
several words and repeat them. The<br />
purpose of this test is to measure the<br />
patient’s ability to recognize words<br />
at a comfortable loudness level and<br />
therefore determine word clarity to<br />
the patient’s ear. Typically, the audiologist<br />
uses a list of 25 mono syllabic<br />
words. Every time the patient makes<br />
a mistake when repeating a word,<br />
4% gets subtracted.<br />
Diminished auditory discrimination<br />
translates into a difficulty in<br />
differentiating between the various<br />
sounds of speech. As such, some<br />
words may be distorted or altered.<br />
To illustrate this, suppose you were<br />
listening to your favourite radio<br />
station and the reception was bad.<br />
Turning up the volume won’t eliminate<br />
the sound distortion. This phenomenon<br />
applies to someone with a<br />
hearing impairment whose auditory<br />
discrimination is dimin ished.<br />
lobe MAgAzine www.lobe.ca<br />
O<br />
KI<br />
D<br />
L<br />
N<br />
Q<br />
P<br />
of diminished auditory discrimination<br />
on the performance of your hearing aids<br />
Discrimination<br />
qualification scale<br />
(this scale may vary<br />
depending on the author):<br />
excellent discrimination:<br />
90% or higher<br />
Very good: 80% to 89%<br />
good: 70% to 79%<br />
Fair: 50% to 69%<br />
Weak: 20% to 49%<br />
almost nil: 0% to 19%<br />
Take the example of a form of hearing loss common to many hearingimpaired<br />
people, whereby high frequencies are affected and low frequencies<br />
are normal. Let’s analyze the frequency structure of the word sunset.<br />
The “s” and “t” are sharp (high frequencies) and the “un” and “e” are low<br />
frequencies. The hearing-impaired person will therefore have difficulty<br />
perceiving the “s” and “t.” The figure below illustrates the concept.<br />
sunset:<br />
Perceived by a normally hearing person<br />
Perceived by a hearing-impaired person<br />
with sensorineural hearing loss<br />
Perceived by a hearing-impaired person<br />
with sensorineural hearing loss<br />
with hearing aids<br />
With the results of your hearing test conducted by the audiologist, the<br />
audioprosthetist will be able to explain what benefits you can expect from<br />
your hearing aids. The role of your hearing aids is to maximize residual<br />
hearing, i.e. stimulate the intact parts of the auditory system, not repair<br />
them.<br />
For hearing-impaired people with diminished auditory discrimination,<br />
it is important to be aware of the specific solutions for maximizing residual<br />
hearing. Among these, using two hearing aids (binaural hearing aids),<br />
choosing hearing aids with more advanced technology, and using listening<br />
and communication strategies make it possible to obtain the maximum<br />
amount of information from the sound environment.<br />
In conclusion, patients who have diminished speech dis crimination<br />
abilities must have realistic expectations in terms of the results they will<br />
achieve with their hearing aids.<br />
Do not hesitate to consult an audioprosthetist at any <strong>Lobe</strong> Santé auditive<br />
et communication clinic for more information. �<br />
Jonathan Plouffe<br />
Audioprosthetist<br />
Saint-Hubert<br />
HA F<br />
P<br />
E<br />
CD<br />
Cédric Bégnoche<br />
Audioprosthetist<br />
Saint-Jean-sur-Richelieu<br />
references:<br />
- LESHOWITZ, B., and r. LINDSTrOM (1979). “ Masking and speech-to-noise ratio ,” Audiol. Deaf Educ. 6, 5-8.<br />
- PLOMP, r., and A.M. MIMPEN (1979). “ Speech-reception threshold for sentences as a function of age and<br />
noise level ,” J. Acoust. Soc. Am. 66, 1333-1342<br />
B<br />
All rights reserved<br />
G
All rights reserved<br />
Hearing aids:<br />
even more effective!<br />
hearing problems are<br />
increasingly widespread.<br />
people suffering<br />
from deafness<br />
are looking for hearing<br />
aids that match<br />
their lifestyle. Through science, our<br />
auditory knowledge continues to<br />
grow, which lets us develop even<br />
more effective hearing aids. One of<br />
the problems the hard of hearing<br />
most often cite is hearing in noisy<br />
environments.<br />
Hearing and understanding<br />
are two different, but interrelated,<br />
things. Hearing loss means that<br />
people perceive words less distinctly,<br />
which means understanding<br />
is reduced considerably. This is why<br />
they hear the words, but don’t really<br />
understand them. Using hearing<br />
aids earlier in our lives enables us<br />
to better adapt to hearing amplification.<br />
Today’s hearing aids use<br />
several systems to help users<br />
understand in noisy environments.<br />
A wide selection is available on<br />
the market and can be categorized<br />
into five levels of technology: premium,<br />
advanced, mid level, entry<br />
level and economy.<br />
Hearing aids using premium<br />
and advanced technology provide<br />
for the most effective correction<br />
systems. They break the sound into<br />
several fragments, which allows for<br />
intervention on small sound bands.<br />
These hearing aids are equipped<br />
with the latest generation computer<br />
system. Noise reduction systems<br />
work alongside the interactive<br />
microphones and the interaural<br />
communication systems (right and<br />
left ear), which increases the ability<br />
to understand in a noisy place. The<br />
noise reduction system works in<br />
the canal where ambient noise is<br />
present without altering the other<br />
bands, thus providing better sound<br />
quality. Using interactive microphones,<br />
the systems available in<br />
hearing aids ensure that the hearing<br />
aid opposite the main vocal source<br />
focuses on that same vocal source.<br />
Connectivity features are available<br />
to connect the hearing aids to the<br />
telephone or TV so that the sound<br />
source is perceived directly in the<br />
hearing aids.<br />
Hearing aids with mid level<br />
technology use less developed systems.<br />
They have fewer channels,<br />
and the noise reduction systems<br />
and microphones are less flexible<br />
than those in hearing aids with<br />
premium and advanced technology.<br />
They do not share sound information,<br />
but they can work together<br />
for directional microphone action<br />
or for adjusting volume.<br />
Lastly, hearing aids with economy<br />
and entry level technology<br />
HEariNG aids<br />
audioprostHEtist’s rEport<br />
provide fewer options as they have<br />
fewer channels and less effective<br />
noise reduction systems. They can,<br />
however, communicate interaurally<br />
for volume adjustment and directional<br />
microphone action.<br />
Do not hesitate to consult your<br />
audioprosthetist at one of the <strong>Lobe</strong><br />
Santé auditive et communication<br />
multidisciplinary clinics for assistance<br />
selecting the right hearing<br />
aids for you. �<br />
Paul Fontaine<br />
Audioprosthetist<br />
Lac-Mégantic and Saint-Georges<br />
references:<br />
Hearing aid manufacturers’ data sheets. Thank you<br />
to the following companies: Starkey, Oticon and<br />
Phonak.<br />
lobe MAgAzine www.lobe.ca<br />
13
14<br />
CALM<br />
LISTENING ENVIrONMENTS<br />
NOISy<br />
HEariNG aids<br />
CONNECTIVITy (BLuETOOTH, FM, INFrArED)<br />
hOMe<br />
TeLephONe<br />
<strong>Lobe</strong> Magazine www.lobe.ca<br />
PErFOrMANCES uSuALLy OBSErVED IN VArIOuS LISTENING<br />
ENVIrONMENTS BASED ON TECHNOLOGy LEVEL *<br />
<strong>ONE</strong> ON <strong>ONE</strong><br />
FAMILy<br />
DINNEr<br />
THEATrE/<br />
CONCErT<br />
OuTDOOr<br />
ACTIVITIES<br />
MEETINGS<br />
rESTAurANT<br />
PArTIES<br />
SOCIAL<br />
ACTIVITIES<br />
ECONOMy ENTry LEVEL MID LEVEL ADVANCED PrEMIuM<br />
MOBILe<br />
TeLephONe<br />
COMFOrTABLE<br />
* These levels of performance presuppose that the person is wearing binaural hearing aids and has strong speech<br />
recognition capabilities.<br />
TV OTheR auDIO-<br />
VIDeO SYSTeMS<br />
CONFeReNCe<br />
aLL rights reserved
All rights reserved<br />
<strong>Lobe</strong> Maintenance products<br />
To ensure both the comfort and longevity of your hearing aids<br />
Quick aNd EasY To usE<br />
TM Daily<br />
Vapo<strong>Lobe</strong> Cleaner<br />
Servi<strong>Lobe</strong> TM<br />
Intra<strong>Lobe</strong> TM<br />
Protec<strong>Lobe</strong> TM<br />
Daily<br />
Cleaning and<br />
Disinfectant<br />
Towelettes<br />
use directions<br />
Cleans hearing aids and reduces<br />
the risk of ear canal infection<br />
while helping to keep repair<br />
costs down.<br />
Cleans hearing aids and reduces<br />
the risk of ear canal infection<br />
while helping keep repair<br />
costs down.<br />
Deep Cleaner Deep cleans earmolds.<br />
Nightly<br />
protector<br />
for everyday<br />
Care<br />
TM Battery<br />
Test<strong>Lobe</strong> Tester<br />
Solu<strong>Lobe</strong> TM<br />
effervescent<br />
Tablets for<br />
earmolds<br />
TM air Blower<br />
Venti<strong>Lobe</strong> for earmolds<br />
TM Lubricating<br />
Inser<strong>Lobe</strong> gel<br />
Eliminates excess moisture,<br />
which is the main cause of<br />
hearing aids malfunction.<br />
Immediately indicates<br />
whether your battery<br />
is still good or<br />
needs replacing.<br />
Deep cleans and disinfects<br />
earmolds.<br />
Eliminates moisture from<br />
earmold tubes.<br />
Makes hearing aid insertion<br />
easier.<br />
Spray the Vapo<strong>Lobe</strong> TM<br />
solution on a tissue and<br />
gently wipe each hearing aid’s earmold, shell or dome.<br />
Can also be used to clean protective ear wear<br />
(e.g. earplugs for musicians, swimmers, etc.).<br />
Take a packet from the Servi<strong>Lobe</strong> TM<br />
box and open it to<br />
remove the towelette. Carefully wipe the earmold, shell<br />
or dome of your hearing aid. Can also be used to clean<br />
protective ear wear (e.g. earplugs for musicians,<br />
swimmers, etc.).<br />
Light pressure is all that’s needed to wet the brush.<br />
Apply the cleaner to the earmold and brush lightly<br />
until the product has evaporated.<br />
Open the battery compartment, remove the battery<br />
and place hearing aids in the Protec<strong>Lobe</strong> TM<br />
container.<br />
The Protec<strong>Lobe</strong> TM<br />
tablet must be replaced every three months. Tip: write the date on the tablet.<br />
Insert the battery into the Test<strong>Lobe</strong> TM<br />
tester. Slide<br />
the battery over the gold-coloured part of the tester,<br />
being sure to keep the “+” side upwards.<br />
The result:<br />
: Battery Ok<br />
: Battery needs<br />
changing<br />
: Battery Ok<br />
: Battery needs<br />
changing<br />
Fill the container with warm water and drop in a tablet.<br />
Disconnect the earmolds from the hearing aids and<br />
place them in the container. Soak for several hours or<br />
overnight. rinse with clean water. Dry with Venti<strong>Lobe</strong> TM<br />
.<br />
Disconnect the earmolds from the hearing aids.<br />
Insert the air blower tip into the tube and squeeze<br />
until all moisture or condensation is gone.<br />
Apply a small amount of Inser<strong>Lobe</strong> TM<br />
lubricating gel<br />
on the earmold or in-the-canal part of the shell.<br />
Avoid getting gel on the receiver and microphone.<br />
lobe MAgAzine www.lobe.ca<br />
15<br />
TM
16 HEariNd aids<br />
The Wi SerieS 110:<br />
Hearing aids designed for better speech<br />
intelligibility in noisy environments<br />
Starkey is introducing<br />
its brand-new<br />
line of Wi Series<br />
wireless hearing aids<br />
design ed to make<br />
your life easier, especially<br />
when it comes to hearing!<br />
The Wi family is available in three<br />
technology levels: entry level (Wi<br />
Series 70), mid level (Wi Series 90)<br />
and advanced (Wi Series 110).<br />
The Wi Series 110 was developed<br />
for active people who experience<br />
ambient noise levels of variable<br />
intensity. Thanks to its programming<br />
flexibility and unique background<br />
noise reduction algorithm,<br />
these high-end hearing aids provide<br />
optimal sound and performance in<br />
challenging listening and communication<br />
environments.<br />
Most hearing losses involve a<br />
diminished capacity to perceive<br />
high frequencies. Those frequencies,<br />
generally above 3 kHz, account<br />
for some 25% of the speech cues<br />
required to recognize spoken language<br />
(ANSI S3.5-1997). The<br />
Spectral iQ option that comes with<br />
the Wi Series 90 and Wi Series<br />
110 restores the audibility of highfrequency<br />
speech sounds without<br />
introducing any distortion. Spectral<br />
iQ uses a technique called “spectral<br />
identification” to identify incoming<br />
acoustic signals in the hearing<br />
aids, recognizing and classifying the<br />
acoustic characteristics of high frequencies.<br />
Once that’s done, it uses<br />
a sophisticated technical process<br />
to replicate those high-frequency<br />
lobe MAgAzine www.lobe.ca<br />
characteristics at a lower frequency,<br />
leading to enhanced audibility and<br />
speech intelligibility.<br />
The Wi Series 110’s advanced<br />
technology also opens the door to<br />
a very useful function for hearingimpaired<br />
individuals: binaural synchronization.<br />
The principle is very<br />
simple: the hearing aids exchange<br />
information every six milliseconds<br />
to establish an accurate portrait of<br />
your acoustic environment. Then,<br />
that map of the acoustic environment<br />
is used to adjust the hearing<br />
aids’ noise reduction levels and<br />
microphones, providing the best<br />
possible sound quality for that<br />
environment. What’s more, when<br />
you turn up the volume on one<br />
hearing aid, binaural coordination<br />
reproduces the action on the other,<br />
providing balanced, optimal hearing<br />
at all times.<br />
In addition to helping you<br />
hear better in noisy settings, the<br />
Wi Series line can also relay audio<br />
signals from your television, radio<br />
or computer directly to your hearing<br />
aids through the wireless Surf-<br />
Link Media transmitter. You don’t<br />
have to install anything complicated<br />
or wear any special accessories:<br />
just connect the transmitter<br />
to your TV set or other device<br />
using the audio cables provided,<br />
and you’re all set! The transmitter<br />
will stream the audio signal from<br />
your entertainment device directly<br />
to your hearing aids, making sure<br />
you don’t miss a word while those<br />
around you can continue to watch<br />
their programs at a volume they<br />
find comfortable. �<br />
Remote Control<br />
SurfLink Media<br />
If you’d like further information or want to know<br />
whether this type of hearing aid or accessory<br />
is right for you, consult an audioprosthetist at<br />
a lobe santé auditive et communication<br />
multidisciplinary clinic today!<br />
Wi Series<br />
Artone<br />
Julie-Catherine Ste-Marie, M.Sc.S.<br />
Audiologist<br />
Starkey Canada<br />
www.starkey.com<br />
All rights reserved
All rights reserved<br />
Bernafon Chronos 7<br />
When it comes to<br />
hear ing aids, the<br />
chal lenge has always<br />
been to fit hearingimpaired<br />
people with<br />
hearing aids that provide<br />
appropriate amplification along<br />
with comfortable sound.<br />
The difficulty in achieving this<br />
balance becomes complex:<br />
1. If the person has hearing loss due<br />
to working in a noisy environment<br />
for an extended period;<br />
or<br />
2. If the person’s audiogram shows<br />
an atypical hearing loss;<br />
or<br />
3. If the person suffers from tinnitus;<br />
or<br />
4. If the person has difficulty in<br />
terms of tolerating loud sounds<br />
(recruitment).<br />
Bernafon Chronos 7 hearing<br />
aids provide adjustment flexibility,<br />
making it possible to program<br />
hearing aids to correct the most<br />
problematic hearing losses. These<br />
devices, along with all the others in<br />
the family of Chronos hearing aids,<br />
were developed to provide clear<br />
and comfortable sound. Audio<br />
Efficiency technology synergetically<br />
combines the processing of the<br />
ChannelFree signal and directivity<br />
for improved speech comprehension,<br />
with optimal elimination<br />
of acoustic feedback (hissing) and<br />
effective noise management.<br />
The technology speed of ChannelFree<br />
signal processing com bined<br />
with phonemic compression ensures<br />
that appropriate gain is phonetically<br />
applied while elimi nating any spectral<br />
blurring, resulting in enhanced<br />
sound quality.<br />
With the growing popularity of<br />
open hearing aids, particularly for<br />
people with ski slope hearing loss<br />
(where low to medium frequencies<br />
are often normal), a good system<br />
for counteracting acoustic feed-<br />
back is very important. The Adaptive<br />
Feedback Canceller (AFC)<br />
Plus, designed in conjunction with<br />
the Chronos family, detects and<br />
eliminates feedback while it is still<br />
inaudible, allowing for open hearing<br />
aids with no acoustic feedback<br />
for the majority of high frequency<br />
hearing losses.<br />
Chronos 7 hearing aids have a<br />
great deal of adjustment flexibility:<br />
� Ability to set up to four programs<br />
including telephone, automatic<br />
telephone setting and Bluetooth<br />
DAI (direct audio input), for<br />
maximum flexibility for your<br />
hearing needs.<br />
� Choice of four hearing aid formulas<br />
(NAL NL1, DSL i/o, Bernafit<br />
and Bernafit Comfort) to<br />
satisfy amplification needs.<br />
� Full range of styles and matrices<br />
for fitting a wide variety of people<br />
with different audiogram configurations<br />
and aesthetic preferences.<br />
� Choice of different shells for<br />
behind-the-ear products, including<br />
the standard colour hook and<br />
Spira Flex thin tube available in<br />
two diameters.<br />
HEariNG aids<br />
� Expanded scope of domes for<br />
maximum hearing-aid fitting<br />
flexibility for all ear sizes.<br />
� Data collection/recording of volume<br />
changes.<br />
� Connectivity via remote control<br />
and Soundgate (Bluetooth). �<br />
Martin Lusignan<br />
Bernafon<br />
www.bernafon.ca<br />
Consult your audioprosthetist at one<br />
of the lobe santé auditive et<br />
communication multidisciplinary<br />
clinics to see whether this product<br />
is right for your hearing needs.<br />
<strong>Lobe</strong> Magazine www.lobe.ca<br />
17
18<br />
HEariNG aids<br />
Pure Carat from Siemens:<br />
An innovative solution<br />
as a manufacturer<br />
specializing in innovative,<br />
practical and<br />
environmentally<br />
friendly concepts,<br />
Siemens has developed<br />
pure Carat, a rechargeable<br />
hearing aid. The handy eCharger<br />
recharging case is easy to use<br />
and spares you the hassle of purchasing<br />
and handling batteries. It<br />
also serves as a drying kit at night,<br />
drying your hearing aids to reduce<br />
the risk of internal corrosion that<br />
could result from exposure to<br />
moisture—including natural perspiration<br />
generated by normal activity.<br />
Pure Carat has earned a reputation<br />
for its flexibility, including a<br />
case that comes in a variety of interchangeable<br />
colours so you can personalize<br />
your hearing aids when ever<br />
you wish, and a switch that can be<br />
used to set the volume or change<br />
listening programs, as required.<br />
Equipped with Siemens’ Best-<br />
Sound technology, the Pure Carat<br />
hearing aid delivers truly natural<br />
lobe MAgAzine www.lobe.ca<br />
sound quality. What’s more, the<br />
built-in TruEar function helps you<br />
determine where sounds come<br />
from. The SoundBrilliance feature<br />
restores the rich, round sound of<br />
music and Bluetooth audio feeds,<br />
thanks to the Tek and miniTek<br />
remote controls. Pure Carat can<br />
also play a part in tinnitus management<br />
programs, helping to alleviate<br />
a common after-effect of noise-<br />
related hearing loss.<br />
Pure Carat is a RIC (receiverin-canal)<br />
hearing aid featuring a<br />
size 13 battery for longer battery<br />
life without sacrificing the case’s<br />
tiny size. Its telecoil enables you<br />
to connect your hearing aids to<br />
compatible telephones and take<br />
advantage of magnetic induction<br />
loop systems found at establishments<br />
like museums, churches and<br />
theatres.<br />
Provided certain requirements<br />
are met, the CSST will cover the<br />
cost of this model for workers suffering<br />
from occupational hearing<br />
loss. �<br />
Consult your audioprosthetist at<br />
one of the lobe santé auditive et<br />
communication multidisciplinary<br />
clinics to learn whether this product<br />
is a good match for your hearing<br />
profile.<br />
Michèle Dostaler, M.Sc.S.<br />
Audiologist<br />
Product Support<br />
Siemens<br />
www.siemens.com<br />
All rights reserved
All rights reserved<br />
AcTo Pro from oTicon:<br />
Hearing aids designed for noisy environments<br />
For most hearing aid users, noisy environments<br />
always pose a challenge. a survey<br />
of 3,000 hearing aid wearers conducted<br />
by Dr. kochkin in 2005 showed that only<br />
59% of hearing aid users were satisfied<br />
with their hearing aids’ overall performance<br />
in noisy environments.<br />
With the arrival of new technologies like wireless<br />
communication between hearing aids and extended<br />
bandwidth, Oticon is now focusing on speech perception<br />
in complex hearing environments. Oticon’s Acto<br />
Pro hearing aids are part of a product line that incorporates<br />
some of the best technologies on the market,<br />
including multiband adaptive directionality, TriState<br />
noise management and binaural synchronization.<br />
These features improve speech intelligibility in<br />
noisy, difficult environments, and they should be<br />
on your must-have list when the time comes to<br />
choose your hearing aids.<br />
Binaural synchronization is a function that allows<br />
two hearing aids to communicate with each other. Our<br />
ears naturally work together to acquire spatial information<br />
on the sounds around us, based on factors like<br />
time lag (a sound reaches one ear before the other) and<br />
difference in intensity (the sound is stronger in the ear<br />
closer to the source). To accomplish that same result,<br />
hearing aids must have considerable bandwidth because<br />
some spatial information comes from higher frequencies.<br />
In the case of Oticon’s Acto Pro, the bandwidth<br />
is 8,000 Hz.<br />
Binaural synchronization and bandwidth size are<br />
essential features, not only for pinpointing the sources<br />
of the sounds around us, but also for understanding<br />
speech in noisy settings. They help produce a sound<br />
picture of the surrounding environment that is richer,<br />
more detailed and more balanced.<br />
In a recent study (Oticon/Sagepub, 2010), 36 adults<br />
with symmetrical sensorineural hearing loss (18 expe-<br />
Connect Phone Connect TV Connect MIC Streamer<br />
To see the Oticon/Sagepub study (kreisman, et al., 2010), visit www.lobe.ca.<br />
HEariNG aids<br />
rienced hearing aid users and 18 inexperienced users)<br />
were fitted in both ears with hearing aids, either models<br />
with an extended bandwidth and wireless communication<br />
capability or models with a narrower bandwidth<br />
and no wireless capability. The goal was to compare the<br />
performance of each pair of hearing aids in two listening<br />
and speech intelligibility tests: a quick speech-innoise<br />
(QuickSIN) test and a hearing-in-noise (HINT)<br />
test. Hearing aids with broader bandwidth and wireless<br />
communication capability achieved better results in<br />
both tests and all noise conditions than digital hearing<br />
aids without wireless communication capability.<br />
Acto Pro is also on the CSST’s list of eligible products.<br />
If you have an occupational hearing loss and a<br />
hard time understanding speech in noisy conditions,<br />
ask your audioprosthetist whether Oticon’s Acto Pro is<br />
right for you! �<br />
Josée Guillemette<br />
Audiologist<br />
Business Development Manager,<br />
Adult and Pediatric Trainer<br />
Oticon Canada<br />
www.oticon.com<br />
To find out whether this product is<br />
right for your hearing profile, consult<br />
an audioprosthetist at a lobe santé<br />
auditive et communication<br />
multidisciplinary clinic.<br />
lobe MAgAzine www.lobe.ca<br />
19
20<br />
HEariNG aids<br />
When I sat down to write this article, I<br />
started pondering the phenomenon of<br />
hearing loss. My first thought was that<br />
most people do not even notice that<br />
it’s happening, and unfortunately, it’s<br />
usually their family and friends who suffer<br />
because of it!<br />
This week, I was Skyping with my parents in Florida<br />
when I realized that my father was starting to have<br />
a bit of trouble understanding what I was saying. My<br />
mother also complained that he kept turning up the<br />
volume on the TV to an annoying level. This set off<br />
alarm bells in my head.<br />
Please take a few minutes to answer the following<br />
questions. This exercise might allow you to recognize<br />
any changes in your hearing:<br />
� Do you set the TV volume at a higher level than<br />
those around you?<br />
� If you do not turn up the TV volume, do you have to<br />
make an effort to hear and understand what is being<br />
said?<br />
� Do the people around you, your children, friends<br />
or spouse complain that the volume of your TV or<br />
music is too high?<br />
� Does your spouse complain that you speak too<br />
loudly?<br />
rS 160 HEADPH<strong>ONE</strong> SySTEM<br />
RS 160 headphones offer an affordable solution that<br />
can improve the quality of life for you and your loved<br />
ones. A high-fidelity stereo system, it consists of a<br />
wireless headset powered by two rechargeable NiMH<br />
batteries and a transmitter that connects to your sound<br />
source. With its clear, well-balanced sound, it delivers<br />
a high-quality listening experience. It is ideal for your<br />
TV, sound system and computer, or even for talking<br />
on Skype. And you can carry it with you wherever<br />
you go!<br />
lobe MAgAzine www.lobe.ca<br />
To find out whether this product is<br />
right for your hearing profile, consult<br />
an audioprosthetist at a lobe santé<br />
auditive et communication<br />
multidisciplinary clinic.<br />
FeaTuReS:<br />
� Wireless noise-isolating headphones.<br />
� adjustable, comfortable headband.<br />
� effective range of 20 feet.<br />
� Compact portable transmitter with multiple<br />
receivers (up to four people can listen to the<br />
same audio source simultaneously).<br />
� No installation required—just plug and play. �<br />
Nadine Girard<br />
Business Director<br />
Retail Strategy<br />
Consumer, Audiology and<br />
Communication Division<br />
Sennheiser Canada inc.<br />
www.sennheiser.ca<br />
All rights reserved
All rights reserved<br />
Age-related hearing loss<br />
age-related hearing<br />
loss is known<br />
as presbycusis. Several<br />
studies have<br />
reveal ed that hearing<br />
loss has many<br />
adverse consequences that should<br />
give cause for concern.<br />
When someone loses their hearing,<br />
it can affect relationships with<br />
loved ones and service providers<br />
alike. Hearing loss sufferers may<br />
shy away from interactions, avoid<br />
discussion, and reduce their participation<br />
in recreational activities.<br />
Even family dynamics can deteriorate<br />
if loved ones fail to understand<br />
the impact of hearing loss.<br />
People with hearing loss may<br />
also experience a lower level of<br />
physical and social activity compared<br />
with those who hear normally.<br />
Some studies have even<br />
revealed an increase in symptoms<br />
of depression.<br />
It can take several years before<br />
a person with hearing loss seeks<br />
help by a professional. Although<br />
several studies have looked at ways<br />
that hearing-impair ed persons<br />
adjust to their situation, a recent<br />
study focused on the experience<br />
of seniors with hear ing problems<br />
in order to pinpoint the individual<br />
and environmental factors that<br />
facilitate or limit their adaptation.<br />
For this age group, the study’s<br />
authors identified four main stages<br />
of progress, ranging from the first<br />
awareness of hearing loss to successful<br />
adaptation. The authors<br />
also compared certain positive and<br />
reference:<br />
- POuLIOT, Louis-Marie, et al. “L’adaptation à la perte auditive chez la<br />
personne aînée: une transformation profonde insoupçonnée,” Vie et<br />
vieillissement, Vol. 9, No. 3.<br />
negative personal factors, such as<br />
whether a person has a confident<br />
or a defeatist outlook. Having the<br />
emotional support of loved ones<br />
and employing good listening<br />
and communication strategies can<br />
also help an elderly person move<br />
through these stages, as they cope<br />
with the reality of hearing loss<br />
and achieve a certain level of wellbeing.<br />
Do not hesitate to seek assistance<br />
from a hearing health professional<br />
in order to help your<br />
elderly loved ones. Their well-being<br />
depends on it!<br />
aqdr’s rEport<br />
To receive a copy of Vie et vieillissement<br />
magazine from the Association<br />
québécoise de gérontologie,<br />
please visit www.aqg-quebec.org. �<br />
Martine Gagnon<br />
Association québécoise de défense<br />
des droits des personnes retraitées<br />
et préretraitées<br />
lobe MAgAzine www.lobe.ca<br />
21
22<br />
Good hearing<br />
for a good<br />
quality of life<br />
Our quality of life is dependent on<br />
many factors, not the least of which is<br />
our ability to hear. When we hear well,<br />
we are able to take part in conversations<br />
and communicate with people<br />
around us. In short, our hearing keeps<br />
us connected with life.<br />
It is important to remain vigilant and be on the<br />
lookout for evidence of hearing loss in our loved ones.<br />
Here are a few signs to watch out for:<br />
� You need to repeat yourself frequently;<br />
� The TV volume is abnormally high;<br />
� The person takes part less often in family discussions,<br />
as if they are unable to follow the conversation.<br />
lobe MAgAzine www.lobe.ca<br />
DISCOUNTS<br />
ACTIVITIES AND TRIPS<br />
PUBLICATIONS<br />
SERVICES<br />
If you notice any of these signs, keep in mind that<br />
the person may not be aware of any hearing loss. You<br />
can help by speaking to them about the importance<br />
of having their hearing checked to pinpoint any problems.<br />
It really is the best gift you can give them! �<br />
Suzanne Belzile<br />
Vice-president of the<br />
Table de concertation<br />
des personnes aînées de<br />
la Capitale-Nationale<br />
We are listening<br />
Our 45,000 member-families are already enjoying the many<br />
benefits we provide, including the <strong>Lobe</strong>-Access program,<br />
exclusive to FQCC members.<br />
Join today!<br />
The FQCC is pleased to make<br />
the <strong>Lobe</strong>-Access hearing health program<br />
available to its members.<br />
A passion for camping<br />
365 days a year<br />
For information and membership<br />
www.fqcc.ca<br />
All rights reserved
All rights reserved<br />
Preventing age-related disease and disabilities<br />
“The Canadian population<br />
is aging. people<br />
over 65 are part of the<br />
most rapidly growing<br />
age demographic. In<br />
2010, it was estimated<br />
there were 4.8 million Canadians<br />
age 65 and over, and this number is<br />
expected to double over the next 25<br />
years, reaching 10.4 million by 2036.<br />
By 2051, about one in four Canadians<br />
will fall into this age category.”<br />
As the body ages, it becomes more<br />
prone to the effects of illnesses such<br />
as cardiovascular disease, cancer, the<br />
loss of sensory perception, dementia<br />
and osteoporosis. However, it is possible<br />
to maximize healthy aging by<br />
adopting behaviours that help prevent<br />
and control disease.<br />
Age-related health problems are<br />
the result of major physiological<br />
changes that come with aging. The<br />
heart weakens, joints wear down,<br />
neurons grow less efficient at transmitting<br />
information and bones<br />
become brittle. But it is a known fact<br />
that a healthy lifestyle can help prevent<br />
or reverse age-related diseases.<br />
Physical exercise will help maintain<br />
The AQRP is proud<br />
to o�er its members the<br />
hearing health program<br />
a healthy heart, strong bones and a<br />
proper weight. And you don’t need<br />
to be a marathon runner to enjoy the<br />
benefits of an active lifestyle. Simple<br />
things like choosing a parking spot<br />
further away from the store or taking<br />
the stairs instead of the elevator are<br />
excellent habits that can help you<br />
stay fit.<br />
Quitting smoking will keep your<br />
lungs in good shape. A healthy diet<br />
will not only help you control your<br />
weight, it will provide your body with<br />
the nutrients it needs to function<br />
properly (for more help, consult the<br />
Canada Food Guide). In addition,<br />
certain medications can decrease the<br />
risk of falls and help prevent injury.<br />
“Gradual hearing loss often goes<br />
unnoticed. Yet it is the most common<br />
sensory disability among seniors,<br />
affecting more than 30% of<br />
people age 65 and over. It is a serious<br />
problem—not only does it affect the<br />
elderly’s ability to hear, it also impacts<br />
their overall well-being. Hearing loss<br />
creates difficulties in communication<br />
and can lead a person to isolate<br />
themselves from family and friends<br />
and avoid social activities.”<br />
pHarmacist’s rEport<br />
There is a clear link between cardiovascular<br />
problems and hearing<br />
loss. Hearing problems can be caused<br />
by insufficient blood flow to the<br />
hearing organ, which is yet another<br />
excellent reason to maintain good<br />
cardiovascular health. Other causes<br />
of deafness in the elderly include<br />
noise exposure, heredity, middle<br />
ear problems, certain medications,<br />
neurological disease or stroke, head<br />
injury and inner-ear infection.<br />
It is never too late to adopt habits<br />
that promote healthy aging, and you<br />
will reap the benefits at any age. Visit<br />
your pharmacist for tips on how to<br />
lead a healthier lifestyle. �<br />
Francis Turgeon, Pharmacist<br />
Pharmacie Fleury,<br />
Charest & Guilbert<br />
references available on www.lobe.ca<br />
Your rights aren’t retired<br />
There are plenty of good reasons to join the AQRP:<br />
· Exciting association activities and culture<br />
· Substantial savings<br />
· Exclusive, high-quality services<br />
· Ongoing lobbying for seniors' rights<br />
1 800 653-2747, ext. 10 • www.aqrp.qc.ca<br />
lobe MAgAzine www.lobe.ca<br />
23
QuébEc ciTY arEa<br />
Québec • Lebourgneuf<br />
Polyclinique Lebourgneuf<br />
777, boulevard Lebourgneuf<br />
Bureau 120<br />
Québec (Québec) G2J 1C3<br />
Tel.: 418 780-3007<br />
Fax: 418 780-3016<br />
Québec • Neufchâtel<br />
Clinique médicale DuChatel<br />
9465, boulevard de l’Ormière<br />
Bureau 102<br />
Québec (Québec) G2B 3k7<br />
Tel.: 418 843-5244<br />
Fax: 418 843-0885<br />
Québec • Sainte-Foy<br />
Clinique médicale Saint-Louis<br />
(Parking: 75 min. free)<br />
3165, chemin Saint-Louis<br />
Bureau 420<br />
Québec (Québec) G1W 4r4<br />
Tel.: 418 781-1733<br />
Fax: 418 781-1736<br />
Saint-augustin-<br />
de-Desmaures<br />
Complexe médical l’Hêtrière<br />
3520, rue de l’Hêtrière<br />
Bureau 103<br />
Saint-Augustin-de-Desmaures<br />
(Québec) G3A 0B4<br />
Tel.: 418 780-3007<br />
Fax: 418 780-3016<br />
cENTrE-du-QuébEc<br />
NEw cliNic<br />
Drummondville<br />
Across from Hôpital Sainte-Croix<br />
110, rue Saint-Jean, bureau 300<br />
Drummondville (Québec) J2B 7T1<br />
Tel.: 819 472-7676<br />
Fax: 819 850-4181<br />
aRe YOu<br />
a MeMBeR?<br />
AQRP • CAA<br />
Réseau FaDOQ<br />
FQCC • RPCU<br />
Exclusive benefits!<br />
mulTidiscipliNAry cliNics<br />
ENT • AudiologisTs • AudioprosThETisTs<br />
spEciAlizEd EducATors • spEEch-lANguAgE pAThologisTs*<br />
cHaudiÈrE-appalacHEs<br />
NEw addrEss<br />
Lévis<br />
Complexe Lévis 1<br />
1655, boul. Alphonse-Desjardins<br />
Bureau 210<br />
Lévis (Québec) G6V 0B7<br />
Tel.: 418 830-5623<br />
Fax: 418 830-5624<br />
Saint-georges<br />
2 nd floor, uniprix drugstore<br />
14640, boulevard Lacroix<br />
Saint-Georges (Québec) G5y 7G8<br />
Tel.: 418 228-2970<br />
Fax: 418 228-6722<br />
Sainte-Marie<br />
733, boulevard Vachon Nord<br />
Sainte-Marie (Québec) G6E 1M3<br />
Tel.: 418 387-7988<br />
Fax: 418 387-7918<br />
Thetford Mines<br />
Place 611<br />
611, boulevard Frontenac Est<br />
Bureau 201<br />
Thetford Mines (Québec) G6G 6y7<br />
Tel.: 418 338-8777<br />
Fax: 418 338-3673<br />
EsTErN TowNsHip<br />
Lac-Mégantic<br />
Carrefour Lac Mégantic<br />
3560, rue Laval, bureau 123<br />
Lac-Mégantic (Québec) G6B 2X4<br />
Tel.: 819 583-6633<br />
Fax: 819 583-4690<br />
Sherbrooke • LSQ<br />
Clinique de santé Jacques-Cartier<br />
1815, rue king Ouest<br />
Bureau 200<br />
Sherbrooke (Québec) J1J 2E3<br />
Tel.: 819 348-4334<br />
1 866 348-4334<br />
Fax: 819 542-1883<br />
Sherbrooke • Rock Forest<br />
Clinique Médicale rock Forest<br />
4870, boulevard Bourque<br />
Sherbrooke (Québec) J1N 3S5<br />
Tel.: 819 348-4334<br />
1 866 348-4334<br />
Fax: 819 542-1883<br />
laurENTidEs aNd laVal<br />
Boisbriand<br />
Polyclinique 640<br />
2000, cours Le Corbusier<br />
Bureau 105<br />
Boisbriand (Québec) J7G 3E8<br />
Tel.: 450 437-4343<br />
Fax: 450 437-1719<br />
Laval • Chomedey<br />
Centre professionnel<br />
Cité de l’Avenir<br />
1575, boulevard de l’Avenir<br />
Bureau 120<br />
Laval (Québec) H7S 2N5<br />
Tel.: 450 934-2614<br />
Fax: 450 934-2615<br />
Laval • Sainte-Dorothée<br />
Centre médical Sainte-Dorothée<br />
3, boulevard Samson, bureau H<br />
Laval (Québec) H7X 3S5<br />
Tel.: 450 969-3335<br />
Fax: 450 969-3566<br />
MauriciE<br />
Shawinigan<br />
3222, boulevard des Hêtres<br />
Shawinigan (Québec) G9N 3B6<br />
Tel.: 819 539-8666<br />
Fax: 819 731-9922<br />
Trois-Rivières<br />
4870, boulevard des Forges<br />
Bureau 101<br />
Trois-rivières (Québec) G8y 1W9<br />
Tel.: 819 378-7477<br />
Fax: 819 840-8382<br />
MoNTérégiE<br />
Longueuil<br />
1215-165, chemin Du Tremblay<br />
Longueuil (Québec) J4N 1r4<br />
Tel.: 450 448-4544<br />
Fax: 450 448-4504<br />
Saint-hubert<br />
4025, boulevard Taschereau<br />
Bureau 1200<br />
Saint-Hubert (Québec) J4T 2G6<br />
Tel.: 450 890-3781<br />
Fax: 450 890-3782<br />
Saint-Jean-sur-Richelieu<br />
600, boulevard<br />
du Séminaire Nord<br />
Saint-Jean-sur-richelieu<br />
(Québec) J3B 7B4<br />
Tel.: 450 349-4343<br />
Fax: 450 348-4884<br />
MoNTréal<br />
Montréal • Saint-Laurent<br />
1605, boulevard Marcel-Laurin<br />
Bureau 120<br />
Saint-Laurent (Québec) H4r 0B7<br />
Tel.: 514 788-7751<br />
Fax: 514 788-7754<br />
Montréal • Saint-Léonard<br />
Les Terrasses Langelier<br />
6383, rue Jean-Talon Est<br />
Saint-Léonard (Québec) H1S 3E7<br />
Tel.: 514 798-0915<br />
Fax: 514 798-0916<br />
pointe-Claire<br />
Corner of Saint-Jean Blvd.<br />
and Holiday Avenue<br />
18, place Triad, bureau 210<br />
Pointe-Claire (Québec) H9r 0A2<br />
Tel.: 514 782-0482<br />
Fax: 514 782-0480<br />
NorTHErN QuEbEc<br />
Tel.: 819 378-7477<br />
Just one call.<br />
We listen. We care. TM<br />
1 866 411-5623<br />
www.lobe.ca<br />
Head office • Saint-Augustin-de-Desmaures : Tel.: 418 877-7222 • Fax: 418 872-1451<br />
TM<br />
Litho Canada All trademarks are the property of <strong>Lobe</strong> Santé auditive Inc. / Bulletin produced by <strong>Lobe</strong> Publications.<br />
* The types of professionals may vary from clinic to clinic.