he who has ears to hear . . .

It was a little after eight when the audiologist came out into the waiting room to get me. I followed her back to the room where we had sat the day before and I listened to her tell me about what could be done to compensate for my hearing loss. We looked at different kinds of hearing aids, ranging from moderately expensive to sell-your-kidney expensive, and talked about what some of the changes in technology could offer me. We settled on a mid-range pair, as far as pricing was concerned, and she said she only needed the evening to program them. I came home, slept restlessly, and returned.

She was deliberate as she put the pieces of the hearing aids together and explained how the microphone would cradle itself in the bend of my ear and then a small clear tube with a small cone-shaped cover would run down the front of my ear and into the hearing canal. She helped me put them on and then she said she had to run a quick test before she turned them on. What followed was a series of sounds that felt like a mash-up of an old dial-up modem and the sequence the aliens played in Close Encounters of the Third Kind. Then, without much fanfare, the room exploded with sound. Layers of noise, or rustles and twinkles, of breaths and buzzes, snaps and clicks. I felt like I could hear my eyelids blinking.

“They’re on now,” she said.

“((((((((I know)))))))),” I replied. Even my voice was clearer. Unleashed. “It’s so loud,” I said. I had forgotten.

“It’s going to feel really loud because your brain has forgotten how to process all of these sounds. It’s going to have to relearn how to hear. And it will. You’re going to do great with these.” She was grinning. I think I could hear her smile. I could hear mine, too. We continued to talk and she explained how to raise and lower the volume to suit my needs. She also told me the aids were set to give me about eighty percent of my hearing back because one hundred percent might be too much to take. She turned it up to ninety just to show me. I’m going to have to work up to it. There’s too much to hear right now.

After a few minutes, I excused myself to go to the restroom -- my first venture out into the world, if you will. I actually heard the conversation of the people walking in front of me, along with the clicking of their shoes. The flush of the toilet was Niagara Falls. And do you have any idea how much noise a zipper makes? As I returned, all I could think about was Buffy the Vampire Slayer in one of my favorite episodes, “The Aspect of the Demon,” where she can hear everyone’s thoughts and feelings to the point of being overwhelmed by them. It seemed that everywhere I turned I was hearing the sounds of silence: noise where I had only heard nothing.

I got in the car to come home and turned down the radio for the first time I can remember. I could hear the turn of the key, the slide of my sandal against the floor mat, the rush of the air conditioner, the passing of the ticket to the parking attendant. From the clicking of the blinker to the crunch of the gravel in the driveway to the sound of my feet on the front porch -- I heard them all, I heard them all, I heard them all. I felt like the people in Pleasantville when they started to see in color. I have 3-D glasses for my ears.

I baked this afternoon (there’s a new recipe) to take cookies with me to the Apple Store and relished in the sound of the scoop in the flour canister, the crack of the egg shells, the whir of the mixer. I think I could even hear the cookies baking. The most shocking moment was walking into the store, which is an assault on the senses anyway. As they snacked, someone asked me how I was doing and I told them I had just gotten hearing aids. It was the first time since I put them in this morning that I had had the chance to tell someone who wasn’t family. Those who asked also took time to listen well.

At the end of the night, I was going into the break room to clock out when I passed one of the guys who seemed in a hurry to get out the door. I wished him well as he flew past me, and he returned the greeting. I sat down at the computer and I heard him call my name. “Milton -- congratulations on your hearing aids. I had no idea you needed them. But that must be an amazing feeling. Congratulations.”

“Thanks,” I said. And he went on his way.

I came home tonight to find the yard filled with screaming crickets and other creatures, a symphony of creation I have not heard since I can remember. I look forward to my brain digging back through the stacks of old forgotten vinyl in my mind, pulling out sounds I haven’t thought of in years and letting them find me again, thanks to the little computers that have hitched a ride on the backs of my ears. I am grateful to be disquieted by the cacophony of creation, thankful to find my voice does not have to be so loud.

Yes, the sounds of the city seem to me so good.

Peace,
Milton

milty, can you hear me?

A couple of years ago, I started noticing changes in my hearing. When it came time for my yearly physical exam, I asked my doctor about sending me to an ENT and also to an allergist, since I have yet to find a season to which I am not allergic in North Carolina. His nurse practitioner said she would make the appointments. That never happened. Midway through the next year, my allergies got so bad that I had trouble swallowing at times -- lots of times -- so when I went back to the doctor I made the same request a bit more emphatically and ended up with two appointments, or should I say dis-appointments. First, neither of them knew I was coming. Second, the ENT was efficient to the point of not dealing with my problem. At the very end of the time I asked about the hearing test and she said, “Sure,” and shuffled me off to a room with headphones and when the fifteen minute test was over they started talking to me about spending $4000 on hearing aids.

I said I would get back to them.

The point of going to see the allergist, at least as I understood it, was to get tested so I could understand more of what was going on and to find out why I was having such trouble swallowing. He, too, had no idea I was coming. He didn’t do the testing, other than to scratch a couple of times and tell me I was allergic to dust mites. Then he started talking about coming for allergy shots, which provided him a steady income but didn’t offer me much of a solution. I asked about my throat and he said he didn’t have the equipment to look at it and that it didn’t have anything to do with allergies. When I asked why red lines showed up on my skin when he scratched me he said, “You’re very allergic.” He didn’t seem concerned about what I was allergic to, but he did write me a prescription and offered to see me again.

I turned down the latter offer, started taking the pills and my throat loosened up.

Last week I went back to my doctor for my physical and he asked how the referrals had gone. No one had told him. I recounted my stories and said, “I guess I was mistaken to think that when you  used the verb ‘refer’ that meant you would actually talk to each other.”

He smiled sheepishly and said, “That’s the way it’s supposed to work.”

I then went on to say two years had passed and I still didn’t understand what was happening to my hearing. Since then, things have gotten worse. Higher frequencies are harder and harder for me to hear. When it gets quiet, I hear white noise that sounds like little bagpipes playing inside my head, and playing the way my father-in-law Reuben used to whistle: without any coherent melody. I needed someone that would pay attention. Someone that would act like I mattered more than my copayment. He then spoke of a doctor at Duke who is tops in her field and could help me find some answers. His nurse came in, picked up the phone, and made me an appointment. I wanted to ask why they had waited two years to play out the scene. I chose, instead, to say nothing and hope for a different experience.

This morning, I went to the Audiology Clinic at Duke. When the woman came in to do my hearing test, she asked me what was going on. I told my story and then said, “It may be that what I need are hearing aids. First, I need someone to listen to me.”

And she did.

What took fifteen minutes at the other clinic took an hour today. She did four or five different tests and then explained what she had found. I have greater than average hearing loss for my age. Hearing aids are probably what I need, but she wanted me to see the doctor first. She was also attentive and clear. I go back for follow ups next week.  The best part of today was I left feeling heard.

As the audiologist was explaining about hearing aids, she said, “You are actually at an easier age to learn how to use hearing aids because your brain can still recall what it feels like to hear.” Part of the reason for the bagpipes, it seems, is the brain makes noise to fill in the lost frequencies. When the sounds show up again, the brain has to remember what to do with them and it can be disconcerting, if not down right uncomfortable. “You will need to wear them all day everyday until your brain makes room for the sounds again. You’re going to hear better, but it’s going to be hard work.”

And it’s work I’m willing to do. If I don’t want to spend the rest of my life saying, “What?” or letting stuff go by, I will need to do the work to open my brain to sounds it has forgotten and to get over my vanity of having little battery packs behind my ears without any hair to hide them. I’m not going to be healed; I am going to be helped. That will have to be enough. I am motivated, in part, by the ears of the audiologist and the doctor who worked hard to listen today. How I wish they were not the exceptions in my experience in American health care.

Peace,
Milton