SHS audiologist ‘hopeful’ about hearing aid ruling



After a recent FDA decision, hearing aids are now available over the counter.

A decision by the Food and Drug Administration that permits hearing aids to be sold without consulting a medical professional could be a positive development, Speech and Hearing Science audiologist Sadie Braun said.

But, as she’s fond of saying, consumers might have to “play it by ear”.

The FDA ruling, which was finalized in August and took effect on Oct. 17, allows adults with mild or moderate hearing loss to purchase a hearing aid without prescription. The ruling will create more competition and lead to quick technology advancements and lower device costs, but without FDA approval a company cannot classify its product as a “hearing aid.” Per the FDA, the devices covered are air-conduction hearing aids, which fit either in the ear canal or sit behind the ear. Other types of hearing  devices include cochlear implants or bone-anchored systems.

While there are plenty of positives to the new rule, it is important to stress that hearing aids are not a one-size-fits-all proposition, Braun said.

“I am a little nervous about the idea that some people who are self-diagnosing may not actually have a mild-to-moderate hearing loss,” she said. “They might be getting hearing aids that are not ideal for them. More importantly, I’m worried that by removing audiologists and ear, nose, and throat doctors from that process altogether, that patients might not get the care that they need for some of those more significant auditory and medical conditions that can be related to the ears and can be very serious if left untreated, such as acoustic neuromas, and Meniere’s disease, to name a couple.”

Given those concerns, Braun recommends that anyone who is considering trying an over-the-counter device make an appointment with an audiologist for an initial hearing test.

That said, Braun believes the ruling will end up being a good thing for “our patients, for audiology, and for the hearing aid industry on the whole.”

“I think that this legislation definitely opens the door for some of our traditionally underserved and underrepresented populations and communities so that they can obtain devices that can help them hear better that they might not have otherwise been able to obtain,” she said, citing the cost of hearing aids. 

The average price for a pair of prescription hearing aids is $4,600, but OTC hearing aids are expected to cost far less. The federal government estimates Americans could save up to $3,000 on hearing aids by choosing OTC brands rather than prescription devices. If that’s the case, the average cost for a pair of OTC hearing aids would be around $1,600. One wrinkle is that there are now several different devices that can be used to amplify sound for a multitude of purposes: hearing aids and Personal Sound Amplification Products, better known as PSAPs, and it can be difficult for consumers to differentiate them.

“The big difference with PSAPs is that they are not meant to treat hearing loss,” Braun said. “They are actually for normal-hearing individuals only. And they’re therefore not classified as medical devices. Instead, they’re considered electronic products. Because of this, they are not regulated at all by the FDA. One example of something the FDA determines with medical devices is age limitations and requirements, and they have stated that OTC aids are ‘not intended for use by individuals who are younger than 18’.  However, while they say that in the rules and regulations, they do not require age verification before over-the-counter hearing aid purchase. But on PSAPs, for example, there’s no recommended requirement.”

Another benefit of the FDA OTC rules, Braun believes, is they will go a long way toward ensuring safety standards for OTC devices.

“The rules and regulations that took years to develop and fine-tune are critical pieces in this OTC legislation,” she said. “We really have to have those built-in safety mechanisms to protect the consumer, to make sure the consumer does not get injured. Also, we have to make sure that these devices meet a set of standards, a set of criteria, to be sure that they do what they claim they will do, or what they are intended to do. Without those regulations in place, I would be much more wary of recommending OTC hearing aids as an option for some of my patients who have mild-to-moderate hearing loss.”

Still, Braun cautions that in the early stages of the aftermath of the rules, much is yet to be determined, and she stresses the need for professional guidance.

“Each person has a different and unique set of needs,” she said. “Some individuals can navigate that process, on their own and potentially be successful with over-the-counter devices. I think that other individuals really need that guidance of a professional to help them through the entire process from start to finish and to be there for support and assistance the entire way. Over-the-counter hearing aids cut out the service component, and that professional service component is what a lot of patients really rely heavily on.”

One way to access that professional service is through SHS’s Audiology & Speech-Language Pathology Clinic. You can reach clinicians by calling 217-333-2205 or emailing shsclinic@illinois.edu.
 

Editor’s note:

To reach Sadie Braun, email svojak@illinois.edu.
 

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Q&A with RST student Emily Jordan



VINCE LARA: All right, so Emily, the first question I wanted to ask you is what made you choose the University of Illinois?

EMILY JORDAN: Well, originally, back in 2020, when I was about to graduate with my associate’s degree, I went to Danville Area Community College, where my associate’s is from. My original plan, before COVID hit, I went and visited three different schools, and the U of I was one of them just because I actually only live about 45 minutes away from campus, so I grew up coming over here coming the games and stuff all the time. So I was already kind of familiar with everything. I just wanted to see what the actual school was like.

So when I visited here originally, I was thinking I was going to major in communications because that’s what my associate’s is in. So when I did my visit over here, I actually spoke with a communications advisor, and I told her what I wanted to do and everything, and she actually redirected me to RST, which is where I’ll be graduating now. So that’s how it ended up. I realized that it was a good fit for me. I’m familiar with it over here. I could live at home, save money, and everything like that, so that ended up being why I came over here.

VINCE LARA: Yeah, and that answers the second question I had for you, which was why RST? And RST does have some similarities to communications. So when you were looking into RST at first, what really appealed to you there?

EMILY JORDAN: I guess I wanted something that was very people-based. I feel like I need communication with people all the time. I don’t see myself working at a sit down job. I need that interaction and everything. And so when I looked into RST more, after discussing different options with that communications advisor, I kind of figured out like, OK, these classes look really appealing to me, it all seems really enjoyable and something that could lead me to a really strong career, and it’s focusing on something that I really want to do, and more sport-based.

Communications is like a big bubble, so it’s really wide, and that’s why you can kind of go different routes with them. So that’s why I wasn’t sure what it was like over here, but I realized that RST encompassed a lot of things that I wanted to learn about and kind of navigate through as I got my bachelor’s degree.

VINCE LARA: Yeah, that’s a good point. And you talked about it being a big bubble, but it’s interesting that I noticed recently– part of the reason I’m having Emily on the podcast is that she won the Joan Braswell Scholarship at the RST scholarship ceremony, and as part of that social media post that we did over here, it mentioned that you wanted to be an athletic director. So I wonder how you made that leap from a communications associate’s degree to RST to now thinking about that as a future career?

EMILY JORDAN: Well, I took a class last semester, in the fall of 2021, and actually, that was my first semester physically on campus because my junior year, when I transferred here, everything was online. So when I came over here in person as a senior last semester, I was kind of worried and intimidated a little bit– a big school and everything. But once I got settled down in the classes and stuff, I felt comfortable in everything.

But one of the classes that I took was Dr. Welty-Peachey’s class. It’s RST 430, and it’s a Sport and Development class, and that was probably one of my favorite ones I’ve taken over here. It talks about how we can use sport as a tool to kind of help develop athletes and develop different parts of life as well as helping athletes be better in the sport that they want to be in.

And I think that kind of opened my eyes as to, OK, I think I have a passion for trying to fix the problems that are within sports because obviously, everything has issues and flaws, but I think that that’s where I found my passion was that I want to keep, especially, kids and youth and high school athletes involved in sports just because I know all the benefits that come from playing and participating in them.

So that’s kind of where I learned like, OK, I feel like, as an athletic director, I could help navigate athletes into the routes that they want to go in and steer them in the right direction and resolve those problems that are taking place as of today. And that’s kind of where I learned that being an AD might be a good fit for me.

VINCE LARA: I’m curious about what or who inspired your love of sports.

EMILY JORDAN: So I’m the youngest of my family. I have two older brothers, and I grew up watching them play sports. They played soccer, a little bit of football, a lot of basketball, track, baseball a little bit, so I just like grew up watching them play everything and, of course, as a younger little sister, you want to do everything that your older brothers or siblings are doing.

So that’s kind of how I got into playing T-ball as a little kid, and then that grew into softball, and then I played soccer just like they did and ended up playing school volleyball, and I ran a little bit of track and played basketball like them. So that’s kind of where it stemmed from. I mentioned before, too, we would always as a family come over to the U of I and watch basketball games and football games. So I kind of just grew up playing them and being around them all the time. We talk about it all the time still today. So that’s kind of where that all stems from.

VINCE LARA: Yeah, that makes sense. And recently, you were an announcer for the Men’s National Junior College Athletic Association Division II basketball tournament. How did that come about? Did you express interest? Did someone seek you out? Tell me how that came together.

EMILY JORDAN: When I was at Danville Area Community College, I took some college classes, like dual credit classes, in high school, so I was already familiar with DACC. And then when I graduated high school, that’s where I finished my associates at for that remaining one year. And one of the classes I took was like a media production class, and the assistant professor I had, her named Laura Hensgen, and she’s kind of in charge of the media department there and everything, and DACC has hosted that tournament, the championship portion of the tournament for– I think it’s been 29 years, I believe. So they’re very familiar with it and everything.

So they have broadcasters and the radio and the livestream come out and everything, and there was myself and another student in her class at the time that was interested in media broadcasting, media stuff, sports in general, and she just asked us if we would be interested in doing it, if that would be a good opportunity to expand our horizons a little bit and get us some experience and everything. So I’m not going to lie, I was a little intimidated just because it’s a big setting and everything, but myself and the other student ended up doing it that first year of 2020.

But then, of course, COVID happened, so that season got cut short. And then when I actually came over here to the U of I my junior year, she asked me to come back, even though I wasn’t a student at DACC anymore. She asked me to come back and commentate again, and so I did it with that student there that following year, as well as I did it with my dad too. So it was really cool to do it, come back and do it, and do it for a full season because I didn’t get that opportunity before. But that’s kind of how it all got started and everything.

VINCE LARA: You said you did it with your dad. Is your dad a broadcaster?

EMILY JORDAN: Yeah, so I live over in Vermilion County, and one of the radio stations, he will do some high school basketball games here and there. And they’ve asked him to do that tournament, the NJCAA tournament there, so he did that one with me. We’ve actually called some of the Vermilion County high school basketball tournament games together too, so it’s been really fun to have that experience with my dad too because, obviously, that doesn’t come around too often, but it was really a lot of fun to do it with him as well as with that teacher at DACC and the other student at DACC.

VINCE LARA: Sure, and DACC being, of course, Danville Area Community College, just for our listeners’ context there. So the obvious next question to you is why not pursue sports media because it seems like you’re really passionate about it and your dad is involved, and so why not go that way?

EMILY JORDAN: Well, I think it goes back to that class that I took last semester. I think that the media world obviously is a huge part of today’s society and how we function and everything, how we get our information, and spread information, and stuff like that. I think it’s a super unique job. Originally, I wanted to do social media or marketing for a team of some sort. That was my original thought.

But I think I was passionate about it too, and broadcasting I enjoy and everything, but I think that where my– I want to get like a lot of fulfillment out of what I do, so I think that helping athletes in some way, making sure they stay involved in sports and, like I said, fixing the issues that are in the systems right now, I think those are really important so we can see the same participation levels throughout time and everything.

And I feel like I’ll get the most fulfillment out of doing something like that versus doing a sports media type job, I would say, just because that I know I’d be helping more people in that way. Not that sports media, obviously, is any– isn’t bad or anything, but I just think I would get more fulfillment out of helping athletes and stuff like that.

VINCE LARA: Sure. Have you had a chance at all to spend any time with Josh Whitman or kind of shadow him?

EMILY JORDAN: No, but I’m going to be doing my internship as part of– I’m not sure if you know, but the RST internship we have to do as part of our degree work requirement– this summer, I will be doing it under the athletic director and the media productions person Laura as I mentioned before. I’ll be working under them this summer at DACC as well. So that’ll be, I think, a really good interesting time for me and kind of allow me to see what it’s like being an AD, so I’m really looking forward to that as well.

VINCE LARA: Yeah, that’s terrific. And I think to wrap up I’d like to just ask, what would you tell other students who may be in a similar situation that you were at the end of your associate’s degree about RST, and how would you recommend the program to them?

EMILY JORDAN: I would say, when I was getting ready to transfer and I was looking at the schools I was looking at, the U of I seems massive. I mean, that was my initial thought, and what I told my parents and everything, but there’s 50,000 to 60,000 kids that come here, and it just seems so big and everything.

But when I actually came here and visited campus and stuff and saw that it’s like you know broken down into colleges and then your major and everything, I think that it helped it be more appealing to me, and also made me feel more at ease and comfortable with coming here, especially since it is so big. But in all honesty, I still feel like I’m kind of going to a community college. I’m not traveling across campus for classes or sitting in super big classes with 100 to 200 kids or anything like that. I really feel comfortable here knowing that I’m in the right major, and then with RST, I think that you’re going to get a lot of experiences out of being in that major.

It’s not necessarily a lot of book work. Obviously, there’s things you take from text and apply it to real life, but I think it’s more real life scenarios that you learn hands-on and in the classroom that can help you further on in your career. So I think that’s why it was so eye-opening for me and really attractive to me to come to RST because I felt that I would get the most out of majoring in this major. So it just felt like that. It felt comfortable, it felt right, and it just, like I said, would be an awesome experience for anyone, I think, who’s interested in this kind of work.


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