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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.

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