Breaking the sound barrier: How to stay sociable despite hearing loss

 

 

The vestibular system, located in the inner ear, is responsible for maintaining balance, stability and spatial orentatation - dpa

So you find it increasingly difficult to follow conversations amid the clattering dishes and loud voices in a restaurant, and then afterwards you feel exhausted? If this sounds familiar, hearing loss could be on the horizon. Christin Klose/dpa© DPA International

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To be a good listener, you've got to be interested in what the speaker is saying. And you need to hear well. If your sense of hearing is weakening, you're likely to first notice it during conversations. Why?

"Because sometimes the speaker will use slight nuances of speech, their tone of voice, or minimally raise or lower their voice, to give what they're saying a particular meaning," says audiologist Eberhard Schmidt.

If you don't pick up these nuances and overtones, you won't know, for example, whether the speaker expects an immediate reaction from you or wants to complete their train of thought first.

Having to concentrate hard when you're listening to someone may be a sign of hearing loss. In some cases, listening can become so strenuous that it tires you out as the day goes on, doctors say. Another possible sign is waning attentiveness during conversations.

Listening is even more strenuous in a noisy environment: music playing, dishes clattering, other conversations nearby. This requires the ability to selectively focus on the conversation you're having, known as the "cocktail party effect." To have it, you need good hearing in both ears.

Your ears work closely together with your brain to filter the voice of your interlocutor out of multiple other sources of sound. "The sound waves that enter both ears are 'translated' into information and classified," Schmidt says.

If you're hard of hearing, your selective attention is impaired. The words of your interlocutor are then largely drowned out by background noise, sentences getting through only in fragments or muffled, explains Schmidt.

There are other signs of possible hearing loss, including constant ringing or buzzing in the ears - known as tinnitus - dizziness, impaired balance and headaches. Another is often being asked to turn down the volume of the TV or radio.

While no one likes to admit trouble hearing - for many a source of embarrassment or shame - a gradual decline in the functioning of the tiny hairs in the inner ear that turn sound waves into electrical signals, and the auditory nerve that transmits them to the brain, is a normal part of ageing.

Reluctant though you may be, you should get a hearing test from an ENT specialist or audiologist if you have hearing problems. Left untreated, hearing loss can lead to social withdrawal and is also linked to increased risk of falling - the vestibular system, responsible for balance, is located in the inner ear.

For mild hearing loss, a hearing aid is often unnecessary. Minor lifestyle adjustments can help to manage it, a very common one being to sit in a front row at speaking events (but not at loud events such as rock concerts!).

"If you sit way in back at church, for instance, you'll experience the reverberations especially strongly, which makes listening and understanding much more difficult," remarks Schmidt, also president of Germany's Federal Guild of Hearing Aid Professionals (biha).

In cases of moderate to severe hearing loss, however, a hearing aid is advisable. "It will detect and suppress disruptive sounds during conversations, enabling you to understand them," Schmidt says. "When it recognizes speech, it automatically turns down background noise."

New hearing aid wearers shouldn't expect things to sound as before though, since your auditory system and brain have to get used to the device. So experts will generally recommend wearing it in fairly quiet environments first, and only later where there's more background noise - say, from a TV or radio - and when you're on the phone.- dpa

In an ENT practice, a simple hearing test will help the doctor determine how well your ears are functioning. Christin Klose/dpa© DPA International

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How to stay sociable despite hearing loss

Surge in Covid-19 cases recorded, Asia registers Covid-19 spike

  Virus making a comeback in Thailand, Singapore, Hong Kong and US, Indonesia, Malaysia

PETALING JAYA: As society becomes more relaxed about the perceived threat of Covid-19, the coronavirus has started to resurge in many countries, leading to an increase in reported cases.

Between May 25 and 30, Thailand reported 65,880 new Covid-19 cases with three fatalities.

Indonesia’s Health Ministry issued a public health advisory following a resurgence of cases in several Asian countries. It urged citizens to remain vigilant and adopt precautionary measures.

Both Hong Kong and the United States have reported an uptick in Covid-19 cases linked to the NB.1.8.1 variant.

ALSO READ: Covid-19: Health Ministry monitoring situation closely

Singapore reported over 14,000 cases between Apr 27 and May 3.

In Malaysia, the Health Ministry said an average of 600 cases were reported each week between Apr 14 and May 10. Malaysia reported over 11,000 cases between Jan 1 and May 10. These are the last available numbers released by the ministry.

Prof Dr Sharifa Ezat Wan Puteh, Universiti Kebangsaan Malaysia’s professor of Public Health Medicine, said people have become lax as Covid-19 is no longer seen as a major threat now. People should be aware of the mutation of the virus and the new variants that would appear, she added.

“The most recent designated variant under monitoring (VUM) is NB.1.8.1, and it is considered highly transmissible but does not indicate higher virulence, or risk of hospitalisation or deaths. It has been stated that the current vaccine’s coverage also covers the current strain and those at high risk such as the elderly, young children, pregnant women and those with high comorbidity need to be vigilant,” she added.

ALSO READ: Remembering war-like Covid-19 pandemic

She said high-risk groups should wear a mask when they are outdoors or if they develop symptoms. Those with non-communicable diseases (NCDs) should not miss their medication schedule.

“If you have Covid-19-like symptoms, it could also be adenovirus (usually mild), Respiratory Syncytial Virus (RSV) and/or influenza,” she said.

This can be determined by testing for Covid-19, or by visiting your healthcare provider for treatment and admission if necessary. “The symptoms may mimic each other, or you can catch two diseases at the same time which is rare, but can occur,” she added.

She said this new variant seems to cause symptoms such as fever, cough, sore throat, fatigue, headache and gastrointestinal distress.

“Besides antigen testing, you may need to get a chest X-ray and blood test for confirmation to rule out pneumonia. Covid generally presents as non threatening symptoms of upper respiratory tract infection and no need to follow up with MySejahtera app (like before),” she said.

Former Health Ministry official and public health expert Datuk Dr Zainal Ariffin Omar said the rise in cases could be due to decreasing immunity either from natural infection or immunisation and people no longer observing precautionary measures like before.

The World Health Organisation (WHO) said on May 28 that since February, global SARS-CoV-2 activity has been on the rise, with the test positivity rate reaching 11% - levels that have not been observed since July 2024.

“This rise is primarily observed in countries in the Eastern Mediterranean, Southeast Asia and Western Pacific regions. Since early 2025, global SARS-CoV-2 variant trends have slightly shifted. Circulation of LP.8.1 has been declining, and reporting of NB.1.8.1, a VUM, is increasing, reaching 10.7% of global sequences reported as of mid-May.”

Recent increases in SARS-CoV-2 activity are broadly consistent with levels observed during the same period last year.

However, there still lacks a clear seasonality in SARS-CoV-2 circulation, and surveillance is limited, it said.

WHO also advised all member states to continue monitoring and applying a risk-based and integrated approach to managing Covid-19.

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Asia registers Covid-19 spike

Healthcare facilities in Indonesia instructed to prepare for rising cases

The country’s health ministry has urged healthcare facilities to stay alert and increase surveillance of Covid-19 amid a surge in cases caused by a more transmissible but less deadly Omicron sub-variant in several countries across Asia.

health Minister Budi Gunadi Sadikin met with President Prabowo Subianto to discuss the rising number of Covid-19 cases across Asia on June 3.

Speaking to reporters after the meeting, he said that “cases are indeed increasing, but the rise is caused by variants that are relatively less deadly”.

his statement came after his ministry issued a circular last week to warn healthcare facilities to stay alert after a rising Covid-19 trend in Thailand, hong Kong, Singapore and Malaysia, largely driven by the more transmissible but less severe Omicron subvariant JN.1.

The circular instructed regional health agencies, hospitals, community health centres (Puskesmas) and other health service facilities across the country to monitor case trends through routine surveillance, report any unusual occurrences and raise public awareness about the need for vigilance.

According to the latest data from the health Ministry on June 3, Indonesia reported seven confirmed cases last week with the positive rate declining to 2.05% from a peak of 3.62% the previous week.

Dicky Budiman, an epidemiologist at Griffith University in Australia, said the warning should be taken seriously by the broader public.

“This is a good measure as an early warning to create awareness,” he told The Jakarta Post on June 3.

he said while it would no longer become a pandemic since mass vaccination has built herd immunity among the Indonesian population, he urged people to maintain caution.

“We must maintain the clean and healthy habits that were developed during the Covid-19 pandemic, such as regularly wearing masks, washing hands, maintaining physical distance, adopting a healthy lifestyle and ensuring proper air circulation.”

Dr Dicky also suggested that the government heighten its alert systems, especially in vulnerable areas with large elderly populations.

Dr Masdalina Pane of the Indonesian epidemiologists Association (PAEI) predicted that the newest sub-variant JN.1 has likely already entered Indonesia, but the surveillance system has been unable to detect it in real time.

“Unfortunately, it is not easy to identify suspects at ports and airports,” she said, suggesting that the government should focus on travellers from affected countries instead.

“Governments can also implement random rapid diagnostic checks based on certain criteria while considering ethical aspects,” she added.

Among the hardest-hit nations in the current wave is Thailand, which reported over 65,000 cases and three deaths in the last week of May, according to The Nation.

But Thai Public health Minister Somsak Thepsuthin said on June 2 that the outbreak in the country has already passed its peak and was expected to ease.

hong Kong saw a downward trend in its positive rate from 13.6% in the week of May 11 to 17 to 11.22% in the following week, although its health department still warned that case levels might remain high in upcoming months. — The Jakarta POST/ANN

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I am stronger now a better person than I was before my stroke

Beating the odds: Jenithaa conducting a training programme.

In July 2017, I woke up during the night with the feeling gravity was pinning me to the bed. 

I managed to get up and shuffle to the bathroom before waking my wife. My left side didn’t seem to be responding as it should. We’re both familiar with the F.A.S.T (Face. Arms. Speech. Time) signs of stroke so when we switched on the light and saw there was no change to my face, we went back to bed. We hoped whatever was going on would sort itself out by the morning. 

However, the next day things were clearly not right so we went to hospital. I was assessed by the stroke team and had a scan of my brain. My scan didn’t show anything and my symptoms were deemed to be related to a virus, so I went home.  

Back home, I nearly fell over in the driveway as my leg failed to step out of the car. I still had movement in my left limbs, but they were reacting slowly. I couldn’t walk unaided. I needed assistance getting into the house and getting into bed, where I stayed until the next morning. By then, the situation had worsened and I went back to hospital in an ambulance. 

I was assessed again and had another brain scan. This time the doctor saw a stroke. 

I had been diagnosed with an irregular heartbeat nine years earlier when I was 47. My cardiologist, at the time, conducted a treadmill test and echo test. She concluded that my heart was strong and my arteries were clear. I was otherwise well, so I was told not to worry and enjoy life. 

The doctors in the hospital detected my heart irregularity and said I had atrial fibrillation (AF), and that is what caused my stroke. According to the Stroke Foundation, atrial fibrillation affects more than 400,000 Australians and many of those people don’t even know. People with AF are five times more likely to have a stroke. 

My occupational therapist put everything in context. She said my white blood cells were stripping away the dead brain cells and other cells were taking on the job of that part of my brain. But these cells needed to learn, so the more I did or tried to do, the better chance they would have of establishing new pathways for messaging to the rest of my body.

This made sense to me so I kicked into gear – well, not quite ‘kicked’ but motioned at least. My left side was impacted so I started working on it. I ordered a banana with breakfast each morning and spent a few hours holding and twirling it in my left hand until I got sick of it and ate the sucker. I worked out I could use the bed rail as a makeshift tricep lifting machine to strengthen my left arm, until the nursing staff caught me. They thought l might break the bed so they brought in some dumbbells. I did other exercises as well and noticed the more l did, the more movement was coming back. I was excited to wake up and see what my brain had learnt the day before and how it would respond today.

After a week, I moved to a rehabilitation hospital where I did occupational therapy and two physiotherapy sessions each day. I was determined to improve, and I did my own workouts in between. I was told I would be there for up to four weeks, but was discharged after two weeks. I wanted to stay longer because I felt there was more improvement I could make, but I was sent home and continued as an outpatient. 

Once I was home, I had a garage gym I began working out in and also hit the local gym every day focusing on what I could turn this new body of mine into. 

On my first day back at the gym, I picked up 12 kilogram dumbbells in each arm, which is what l used before the stroke. The first few days were pathetic attempts to use these weights, but I persisted. Amazingly the strength came back fairly quickly and I now use 17 kilo dumbbells. 

I took an initial three months off work as a home loan specialist to rebuild my body, then another three months to try and build brain endurance as brain fatigue would hit and it would hit hard. When I was able, I’d go to the gym as l found the blood flow and endorphins would give the brain fatigue a run for its money and replace it with muscular fatigue – which was much nicer.

I couldn’t have done any of this without the love and support of my family. They were my cheer squad. My wife was my rock and my recovery journey has inspired each of them to some degree in different ways. 

Emotionally, I never felt upset or depressed. I had a pretty simple approach to my situation – I had lived 55 great years, married a wonderful woman and we had raised great kids. My life to me was a book – I didn’t write it; it was written for me and I have no idea how many chapters are in my book. No-one does. 

The reason I wanted to share my story was partly to highlight that not all the F.A.S.T factors need to be present when a stroke occurs.  But more importantly, stroke doesn’t mean your life is over. The human body is an amazing thing and the recovery journey I’ve been on has shown me what it is capable of doing. 

Although it has taken time, my journey has been exciting in many ways as l watched my left side become operational again. I am actually stronger now than l was pre-stroke. I have also returned to work – all that within eight months.  -  By Greg Crawford

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‘I am now a better person than before the stroke'

Beating the odds: Jenithaa conducting a training programme.

KLANG: She was at the height of her career when the inevitable struck, leaving her physically and financially devastated.

However, years later, Jenithaa Santhirasekaran, 56, believes that the stroke she suffered in 2011 was a blessing in disguise.

Jenithaa, who was then a country director for the Malaysian AIDS Council overseeing an externally funded programme on community action and harm reduction, recalled: “The stroke and the physical disability that followed made me look at myself, and life in general, from a different perspective.

“I was doing very well before it happened, but I was proud, arrogant and self-centred, believing I had the best career, as well as wealth and glamour.”

The mother of three daughters aged 33, 22 and 17, and grandmother of a six-year-old girl, had also served as the executive director of outreach organisation PT Foundation before joining the Malaysian Aids Council.

Jenithaa recalled how the turning point in her life came after she was injured in a snatch theft incident that resulted in her suffering injuries to her head, face and neck.

“I was on medical leave for two weeks and suffered from nausea and headaches and felt faint all the time long after my medical leave ended.

“Two months later, when attending a meeting in Bali, I suffered a stroke in my hotel room,” said Jenithaa.

The stroke rendered her unable to walk and talk, and also affected her right eye.

After being hospitalised in Bali for two weeks, she was allowed to return home to Malaysia and was readmitted here two weeks later after suffering fits.

Wheelchair-­bound but able to speak by then, Jenithaa said she went for everything she believed could help her, such as ayurvedic treatment, massages and acupuncture.

“I was jobless, broke and an OKU (orang kurang upaya – a person with disabilities) and after a while I had no money left in my bank account.

“There came a time when there wasn’t even any food in the house to feed my children and that truly devastated me and made me feel useless,’’ said Jenithaa, adding that it was then that she decided to take her own life.

Desiring to spend one final day with her three daughters, then aged 19, eight and four, Jenithaa emerged from her room, where she had been isolating herself, to be with them.

However, when she saw how much her children loved her and their happiness upon seeing her, Jenithaa chose to fight back and refused to let the stroke control her life.

“I stopped using my wheelchair and held on to walls and objects while teaching myself to walk again.

“I also literally begged, borrowed and stole to raise my children in the condition that I was in.

“I made myself ‘thick-skinned’ and asked for help but unfor­tunately lost so many ‘friends’ during this time after I approached them to seek financial help,” said Jenithaa, who became a single mother when her youngest daughter was born.

She also called up friends and acquaintances and started going out to let people see her in her post-stroke condition.

Jenithaa added that she started taking any job that came her way as well as pursued courses and developed herself into a speaker, forum panellist and advocate for the differently-abled.

“I am now a certified neuro-­linguistic master practitioner and trainer, clinical hypnotherapist, disability equality training ­trai­ner, non-governmental organisation management trainer, environment social and governance trainer and a diversity, equity and inclusion trainer.”

She added that she has also developed and run modules on emotional well-being, climate change and innovative parenting and has conducted over 100 workshops to date.

Jenithaa said she is currently completing a diploma in integra­ted psychotherapy specialising in childhood and adulthood abuse, trauma, grief health and past life regression therapy.

Despite sight not yet fully retur­ning to her right eye, her right leg completely numb, her right hand disabled and her speech sometimes impaired, Jenithaa added that she has finally found herself.

“I am happy that I am now a better person than I was before the stroke happened.”

She can be contacted at jenithaa69@gmail.com

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