The Hybrid Challenge

Description

We’ve been holding our local church services using a videoconferencing platform for quite a while now, due to the COVID virus.  I found those services pretty accessible. The videoconferencing platform works pretty well for me, with my hearing loss, especially now that we have access to captions.  The speakers have their webcams on so I can read their lips, and I can turn the volume up on my laptop.  There's also been very little background noise since the speakers were talking from quiet spaces. 

As the pandemic seems to be ending, we moved to hybrid services, with both remote and in-person attendance.  A limited number of people, all at healthy distances, were allowed to be present in the sanctuary.  I've continued to participate remotely.  Halfway through the service, a person in the sanctuary was speaking from the podium wearing a mask.  Great!  No lipreading and the auto-captions are struggling.  I need to email our minister and re-up our discussion about accessibility.

Main Takeaway

Moving from all virtual gatherings to hybrid gatherings where some people are together in person and some people are participating remotely has revealed some new accessibility challenges.

Dipla...What?

Description

When I purchased a new pair of hearing aids, my audiologist explained that they have a “boot-up” sound, to let me know I turned them on successfully.  It’s a five-note, upward pattern (an arpeggio).  I noticed, right away, that the pattern on the left-side aid was a different pitch than the one on the right.  The right one was higher-pitched, to a degree that was noticeable, but not unpleasant.

When I mentioned it to my audiologist, she said, “no, your aids’ boot-up sounds are both exactly the same pitch.”  Huh?  So, I took the aids out and booted each of them up in the same ear.  She was right!  When I listened with just one ear, the aids’ boot-up notes were identical. Apparently, pitch distortion, or diplacusis, sometimes comes along with hearing loss. I guess that’s why I can’t sing with my church choir anymore; I was slightly off-key and never noticed, but the choir director did.

Main Takeaway

Most people think about hearing loss as an inability to hear sounds. Getting new hearing aids helped me understand how my hearing loss was also distorting the sounds I heard.

The Devil is in the Detail

Description

When I bought my new hearing aids, I bought a compatible remote microphone to go along with them. My wife and I thought this would be a great idea. She could wear the remote microphone and communicate with me from another room, or while not facing me in the same room.

While this seemed like a good idea, we didn't realize some of the nuances that go along with this kind of setup. The problem was that when she was wearing the device she would sometimes forget that she was wearing it. She would make a phone call, and then I would hear the entire phone call as it’s proceeding. Not exactly the effect we were going for. We've adapted with time and it has been useful, but we didn't originally think through all the communications scenarios that happen at home and how we would use the remote microphone in them.

Main Takeaway

People with hearing loss benefit from technology that delivers sound from a distant sound source, for example, someone in another room, directly to their hearing aids. This can get a little complicated though.

A Negotiated Solution

Description

I have a hearing loss and struggle to communicate using surgical masks.  Nobody seems to find it easy, but for me it’s basically impossible. If I am listening to a person with a quiet voice,  I tell them I’ll make a deal with them: I’ll stand 6 ft. away with my mask on if they will take theirs off to talk to me.  I explain my ears aren’t the best and I can’t hear well.  Much of the time people oblige.

Today I had an eye appointment, and the doctor had two masks on - an N95 mask with a cloth mask over that.  While some people are willing to remove their mask to talk to me as long as I wear one and keep the 6 ft distance, this doctor was not going to remove his masks to talk to me.  So I got my phone out and used my transcription app.  I thought it might not work well, because automatic captions sometimes don't work well in the very same situations I have difficulty understanding.  However, it turned out to be a surprisingly good solution!

Main Takeaway

Communicating with healthcare providers is a challenge when masks are in the way, so I try to think of solutions that might work for everyone.

False Alarm While Driving

Description

When I’m driving, I usually listen to NPR talk radio.  It's a great way for me to practice my speech comprehension so it doesn't get worse along with my hearing.  I put my hearing aids in the “car” setting, which provides extra noise reduction.  I also set the radio so that the higher frequencies are a bit louder, which makes speech sound clearer to me.

Sometimes, I’ll hear what sounds like an alert signal…a high-pitched, beeping sound.  I get worried, look around, and check my car’s mirrors, but don’t see anything.  Then, I realize that it was the radio playing some kind of sound effect or music, in-between the news segments.  Nothing like a false alarm to create a little confusion behind the wheel.

Main Takeaway

I have a hard time knowing whether the alert-like sounds I hear while driving the car are coming from the radio, the car itself, or outside the car.

Worst Case Scenario

Description

I go to restaurants with a lot of trepidation, especially when I’m with people who might not know I have a hearing loss. A lot of questions cross my mind before I even get to the restaurant.

  • Will the restaurant be crowded?
  • Will we be seated at a table in a particularly noisy part of the restaurant?
  • Will others mind if I ask to switch seats so I can hear and see better?
  • Will I be able to hear the wait staff?
  • Will the restaurant lower the level of the background music if it’s too loud for me to understand others?
  • Do I let the other people know I have a hearing loss?
  • Should I bring my remote microphone?
  • Will I need to bring a battery pack so my remote microphone doesn’t run out of power mid-conversation?

Maybe I should just stay home?.....

Main Takeaway

Going to a restaurant with a group is one of my worst-case scenarios when it comes to hearing and understanding others and participating in conversation even though I'll be wearing my hearing aids. 

It Depends on the Situation

Description

I’m in a book club, and everyone in my book club has hearing loss. I’ve introduced them to an app on my phone that provides automatic speech transcription. At our meetings, I pair my phone to a projector using Bluetooth so that we can all see the transcription it provides. It’s sort of like having our own personal CART writer on demand, and a cool way to use the application.

I will use this application when I’m a passive member of the audience at other events, but I feel a little self-conscious doing so. I’m afraid the people around me might think I’m not paying attention and just playing on my phone. Or worse, that the staff will think I’m making a recording of the event.

Main Takeaway

Sometimes a great solution for one situation might not work as well in other, similar situations.

A Game Changer

Description

I used to avoid phone calls on my cell phone because I could not reliably hear well enough to have confidence that I would understand the other person. Instead, I preferred to use my amplified landline phone because I knew I would be able to hear on that phone. Of course, I was limited to making and receiving phone calls at home and couldn’t be mobile like everyone else.

Getting hearing aids that supported using Bluetooth with my cell phone was a really, huge advancement for me. I went from almost not being able to hear on a mobile phone to preferring it over my amplified phone. It’s my go-to phone now because I can hear the person I’m talking to clearly with both ears, and that works very well for me.

Main Takeaway

Bluetooth streaming between my hearing aids and my cell phone has been a game-changer for me in terms of using the phone for voice calls.

Harder Than It Should Be

Description

When I go to the movies or a theater to see a play, I’ll check the website before leaving to see if they mention if an assistive listening system is available. I know the Americans with Disabilities Act requires public places to have some kind of system, and they usually have an FM system.

Recently, when I arrived at a theater, I asked the ticket taker where I could get the FM receiver. The ticket taker told me to talk to the concession person. The concession person told me to talk to the usher, and the usher sent me back to talk to the concession person. It took a while to find someone who could not only help me but also find the FM receivers. They were in a little box in a closet. Of course, the batteries were dead.

Main Takeaway

I’d like getting assistive listening in public places to be simple and easy, but that’s rarely the case. It’s often harder than it should be.

More Than a Distraction

Description

I attend remote meetings regularly. I have to take various actions to hear people better. Sometimes I have to ask them to turn on webcams, get closer to their microphones, and ask for the auto-captions to be turned on. Remote-meeting platforms often provide auto-captioning for people with hearing loss (and others who are having trouble following what is being said).

Unfortunately, in some cases, the captioning on the remote platforms is so mistake-ridden that I just turn them off. Even when there are relatively few mistakes, the distractions they can cause really interfere with my ability to keep up with the conversation.

Imagine a speaker who says the words, “site administrator,” and the captions read “satan administrator.” Even if the captioning software corrects it, the distraction created by the error, and the visual motion of the correction, can really impact my ability to follow the conversation.

Main Takeaway

Even small auto-caption inaccuracies can be more than a distraction to someone who’s already struggling to keep up in a meeting.