April 2008


Thanks to Jeff Roth, the author of this story:

I have never been clear about the proper way to keep my ears clean.  I had grown up being told by my doctor that “the ears naturally clean themselves.”  The advice was to clean the outside of the ear canal, but do not go inside, as this disrupts the natural process of pushing ear wax out, possibly pushing wax so far into the ear canal that it gets stuck. Plus, it is good to have some ear wax.

At the same time, I independently learned the satisfaction cleaning out my ear canal with a bobby pin.  I figured, I could just go a little bit inside the canal instead of staying on the outside.  I got better at going deep inside my canal and periodically getting out big chunks of heavy, sometimes dark, wax.  For 15 years this method kept my ears happily fairly clean.  I was an avid swimmer and I never once had an ear infection, and I never fulfilled my doctor’s concern of puncturing my ear drum.

When I was in my mid-twenties I decided to follow my doctor’s advice, and see if my ears could take care of the cleaning themselves.  I stopped sticking bobby pins in my ear.  After maybe a year, my ears started to get clogged.  Determined to stay on my doctor’s advised course, I didn’t stick in any bobby pins but tried an over-the-counter ear wax softening agent.  I followed the full 3 day course, spending too much time lying on my side.  Afterward, I flushed out my ear, but didn’t get the wax build up I knew was in there.

In fact, my hearing started to get worse, and soon, my right ear was completely clogged.  I went to urgent care, and an incompetent nurse and doctor put stool softener in my ear (they said that would work the best), let it sit, and then spend 45 minutes shooting water into my ear with a syringe.  Did it work?  No, my ear just became painful, and nothing came out.  I got a bill of over $300, of which my copay was $90, and a referral to the ear nose and throat doctor.  I figured I would finally get some relief and some clear answers.

The ENT doc used 100% strength hydrogen peroxide in my ear, which he said works better than any of the softeners.  Then he successfully vacuumed out the wax.  I asked him why urgent care couldn’t have done that and he said it wasn’t the vacuum that is expensive, but the microscope that goes along with it.  I let him know the local Costco has one.  I didn’t bother telling him how I would have to pay for both the unsuccessful treatment and the successful treatment.

The doc confirmed my suspicion that my original doctor was wrong, people’s ear wax differs, and some have wax that will not come out on their own.  He said I could either come in once a year and get the same treatment (which would cost me $100 copay), or use hydrogen peroxide myself every once in a while and then flush out my ears with a mix of hydrogen peroxide and warm water.  I bought a syringe, but have actually found that the water pick on my shower works even better.  And I am confident the bobby pin helps as well.  Having finally gotten some good advice on how to clean my ear, I thought I’d share my story see what other people think.

Check out this New York Times article on the Lyric.

The author of that article asked her readers about their hearing aids on her blog. There are a lot of insightful comments from hearing impaired people and those involved with the hearing health industry.

I’ve been interested in a new hearing aid concept through Insound Medical, called the Lyric. [I've written about them already] The hearing aid fits all the way inside the ear, 1/16th of an inch from the ear drum. This means the device is invisible but it also means the sound doesn’t have to be amplified as much. Theoretically, the sound should be more natural and less distorted. Its supposed to be quite comfortable with its soft and spongy exterior. The spongy material helps dispel moisture that would otherwise be trapped. You can keep the hearing aid in your ear when your sleeping, showering, or doing just about anything but constant swimming. The device provides pure analog sound as supposed to the now ubiquitous digitally processed sound. Analog sound might prove to have its advantages over digital when it comes to hearing aids. The 500 people or so who currently wear the device swear by it.

Cost? You wear the hearing aid up until the battery runs out - which can end up going about 120 days but that varies based on environmental factors and your hearing loss. They charge an annual subscription fee of $2,900 to $3,600 (less if the hearing loss is in one ear). That would add up to a little more than the $6,000 or so I would pay for BTE hearing aids that last me 3 or 4 years. It would be worth it if they prove themselves to be better than my BTE options. Check out this New York Times article on the Lyric.

I’ll be trying the Lyric out myself in the next couple months and I’ll let you know what I think. It probably won’t be a good long term fit for me because I’m in the water almost every single day surfing (and I won’t stop doing so). But I’m very curious- I might as well try something on a 30 day trial or your money back that many State Laws provide.

Their website for consumers has well made videos but they need to freaking add some captions to them if their consumers are hearing impaired.

I have a couple questions for my great readers:

Which hearing aids do you wear? Are you happy with them? - How do they help change your life for the better? What don’t you like about them?

Did you pay for them out of pocket? Were you able to get financial assistance from Insurance or other sources? Is the current recession affecting your choice to buy a hearing aid?

If you want to let me know anonymously, email me at davidsigismund@gmail.com. All information shared with me is confidential and private. Otherwise, just post here. Thank you for reading this blog. Your opinions matter to me.

Mind altering substances of many kinds may have something to teach us but they’ve been mostly dismissed, demonized, and cast into broad legal categories that aren’t meaningful.

I had a curious experience a number years ago with one of these schedule 1 substances that led to a bit of an epiphany. No, I didn’t discover the meaning of everything; nor did I experience some radical realization that I needed to join Scientology to save my thetan. My discovery was far more pragmatical and relevant.

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