The 44 Sounds Hearing Aid Clinic

The 44 Sounds Hearing Aid Clinic Hearing test. Hearing Aids. Hearing Repair. Hearing Protections. Counseling & Rehabilitation. Second Opinion.

Kate Powell
The founder and owner of The 44 Sounds Hearing Aid Clinic,
Bachelor of Science (B.Sc.) Human Physiology
Registered Hearing Aid Practitioner (RHAP)
Board Certified Hearing Instrument Science (BC-HIS).

01/02/2026
As the New Year begins, may it remind you that you are here, and that your life matters.There is time ahead, space to gr...
01/02/2026

As the New Year begins, may it remind you that you are here, and that your life matters.
There is time ahead, space to grow, and opportunities waiting to be discovered.

May this year bring steady steps, quiet confidence, and moments that feel right at their own pace. Let go of what no longer serves you, and carry forward what truly matters — kindness, curiosity, and hope.

Whether you are starting something new or simply continuing forward, may the year ahead meet you with open possibilities, and may you meet it with trust and calm.

Wishing you a peaceful, meaningful, and hopeful New Year.

2025 Tax Year ReminderHearing aids are a CRA-approved medical device in Canada.Hearing aids purchased in 2025 qualify as...
12/12/2025

2025 Tax Year Reminder

Hearing aids are a CRA-approved medical device in Canada.
Hearing aids purchased in 2025 qualify as a medical expense and can be claimed on your 2025 income tax return.

Purchasing before December 31, 2025 allows you to include the full cost of hearing aids and professional fitting fees and may result in a tax refund in spring 2026.

If better hearing is on your list for 2025, do not wait until the last minute.
Book your hearing assessment and plan your purchase before year-end.

12/09/2025

Central Auditory Processing Disorder is often mistaken for hearing loss. In reality, most people with CAPD hear normally, but their brain struggles to interpret sound accurately. This creates daily challenges, especially in noisy environments, classrooms, workplaces, or fast-paced conversations.

CAPD is a disorder of the central auditory nervous system. The ears receive sound correctly, but the brain has difficulty processing the information. Individuals may struggle with:

Understanding speech in noise
Following rapid or complex instructions
Sound localization
Distinguishing similar speech sounds
Auditory memory
Staying focused in busy environment

CAPD predominantly affects children with normal hearing, though adults, especially after stroke, TBI, or with age-related changes

Pay Attention To If you or your child:

Misunderstand spoken information
Frequently ask “What?” or “Can you repeat that?”
Struggle in noisy places
Lose track of multistep instructions
Have unexplained academic or listening difficulties

What You Should Do

Get a comprehensive evaluation
Detailed case history
Questionnaires
Complete audiologic evaluation
Specialized auditory processing tests (dichotic listening, gap detection, temporal patterning, speech-in-noise, auditory figure–ground, etc.)

Effective treatment typically combines:

Auditory training (improving discrimination, memory, temporal processing, and speech-in-noise abilities)
Mild-gain amplification when beneficial
Remote microphones/FM systems to boost speech over background noise
Environmental modifications such as preferential seating, written instructions, and reduced background noise

CAPD is real, common, and manageable. If listening feels harder than it should—despite normal hearing—don’t ignore it. Seek an evaluation from an audiologist experienced in auditory processing, and take advantage of the tools and training that can dramatically improve listening and communication.

12/04/2025

THE BRAIN AND ADDICTION
Brain is an old biological machine built for survival, not for modern life. It is powerful, primitive, and automatic, and it reacts according to evolutionary rules, not modern life. Because of this mismatch, you must lead it. You train it the same way you would train a strong but uneducated animal:
• Show it new routines.
• Repeat them until they become habits.
• Remove triggers that confuse it.
• Create structure so it knows what to expect.
• Limit access to fast-reward stimuli.
• Reinforce behaviors that match the life you want.

THE BRAIN’S REWARD SYSTEM IS BUILT FOR SURVIVAL, NOT FOR MODERN LIFE
Humans evolved in a world where life was physically hard. Food, comfort, and pleasure were rare.
So the brain developed a reward system designed to motivate survival behaviors:
• eating
• social bonding
• s*x
• safety
• exploration
These behaviors required effort, so the brain evolved dopamine bursts to reward them and encourage repetition.
Modern life overwhelms this ancient system because now we can get pleasure instantly and effortlessly:
• sugar
• processed food
• alcohol
• drugs
• po*******hy
• screens
• gambling
• constant entertainment
These modern stimuli overstimulate dopamine far beyond what the brain was designed to handle.

DOPAMINE DOES NOT CREATE PLEASURE — IT CREATES WANTING
Most people misunderstand dopamine.
It does not cause pleasure.
Dopamine creates:
• craving
• desire
• motivation
• pursuit
• “I need to do that again.”
This is the chemical of drive, seeking, and habits.
The feeling of pleasure actually comes from the brain’s opioid system.
Dopamine pushes you to chase whatever activated the opioid (pleasure) system.
Every time a behavior spikes dopamine, the brain records it as important and learns:
“Repeat this.”

ADDICTION HIJACKS THE DOPAMINE LOOP
All addictions—substances, sugar, gambling, p**n, screens—follow the same biological loop:
Trigger → Craving → Action → Relief → Memory → Repeat
This loop gets wired into the basal ganglia, the habit center.
Over time the loop becomes automatic and bypasses conscious decision-making.
This is why addiction feels like:
• “My brain is controlling me.”
• “My body acts before I can think.”
It is because the habit circuitry has taken over.

THE SELF-CONTROL SYSTEM BECOMES WEAKER
The brain has two major control systems:
Thinking brain (prefrontal cortex)
• logic
• planning
• long-term thinking
• self-control
Survival brain (limbic system)
• cravings
• fear
• pleasure seeking
• emotional reactions
• habits
Addiction strengthens the survival system while weakening the thinking system.
This is why people honestly say:
• “I shouldn’t do it, but I do it anyway.”
• “I don’t want it, but I still go for it.”
This is not weakness.
It is neurobiology.

SOME ADDICTIONS ARE WIRED IN FROM EARLY LIFE — SUGAR IS ONE
Sugar addiction starts in infancy because breast milk is sweet, fatty, and comforting.
This is the first activation of the reward pathway.
Later in life sugar:
• spikes dopamine
• spikes insulin
• gives fast energy
• creates artificial comfort
Then insulin crashes blood sugar, and the brain interprets the crash as starvation:
“Get sugar now.”
This cycle repeats and becomes biochemical conditioning, not poor discipline.

STRESS MAKES ADDICTION WORSE THROUGH CORTISOL
Stress releases cortisol, which makes the brain more sensitive to dopamine.
This means:
• cravings increase
• urges feel stronger
• emotional control drops
• the brain seeks quick comfort
• old habits return instantly
Stress + dopamine dysregulation = powerful addiction drive.
This is why trauma survivors have higher addiction risk.

TRAUMA REWIRES THE REWARD AND CONTROL SYSTEMS
Trauma is not emotional weakness. It causes measurable neurobiological changes:
• Hyperactive amygdala: fear and emotional alarms constantly activated
• Reduced prefrontal control: weaker self-control and decision-making
• Altered dopamine response: irregular reward processing
• Dysregulated cortisol: chronic stress hormone elevation
• Impaired emotional processing: poor regulation, unstable mood
Addiction becomes a chemical way to soothe an overactivated nervous system.

WITHDRAWAL IS CHEMICAL, NOT PSYCHOLOGICAL
Stopping an addictive substance or behavior causes:
• dopamine collapse
• increased cortisol
• limbic panic
• overwhelming cravings
• mood crashes
• sharp decline in energy
This is not moral failure.
It is a neurochemical withdrawal state.
The brain is trying to restore its previous equilibrium.

RECOVERY REQUIRES REBALANCING THE BRAIN — BIOLOGICAL FIRST
Recovery is NOT about motivation.
It is about restoring biological stability so the thinking brain can regain control.
Sleep — the biological reset
During sleep:
• the prefrontal cortex (self-control) repairs
• the amygdala (fear center) calms
• dopamine receptors reset sensitivity
• inflammation decreases
• stress hormones drop
• emotional regulation becomes possible
Without consistent sleep, the brain’s self-control circuit cannot function.
Addiction recovery is almost impossible without sleep stabilization.
Movement and oxygenation — chemical correction
Movement is not “exercise for fitness.”
It is a biological tool that changes brain chemistry.
Movement increases:
• blood flow to the brain
• oxygen delivery
• BDNF (brain-derived neurotrophic factor), which builds new neural pathways
• serotonin (mood regulation)
• endorphins (natural pain relief and pleasure)
Movement decreases:
• cortisol (stress hormone)
• inflammation
• impulsive behavior
• limbic overactivation
Even 10 minutes of movement begins to correct the chemical imbalance.
Nutrition and blood sugar stability
Stable blood sugar reduces:
• cravings
• anxiety
• irritability
• dopamine crashes
Unstable blood sugar mimics withdrawal symptoms and drives addictive behavior.
Removing fast dopamine sources
Consistent removal of instant reward allows:
• dopamine receptors to recover
• cravings to weaken
• normal reward sensitivity to return
“What you don’t use, the brain slowly disconnects.”
Reducing environmental stress
A predictable environment reduces limbic activation.
This lowers cravings and strengthens the prefrontal cortex.

PSYCHOLOGICAL AND ENVIRONMENTAL RETRAINING
Psychological
• emotional regulation
• replacing harmful thought patterns
• developing new reward pathways
• learning skills for distress, boredom, and loneliness
Environmental
• removing triggers
• building routine
• reducing chaos and unpredictability
• strengthening social support
The brain cannot heal in a chaotic environment.

RECOVERY IN PRACTICE: REPLACE, DON’T ERASE
The brain cannot delete habits.
It can only overwrite them.
Examples:
• Stress → walk outside instead of eating sugar
• Lonely → call someone instead of scrolling
• Bored → clean or create instead of drinking
If you remove a habit without replacing it, the brain defaults to the old loop.
Cravings are biology and temporary
Cravings last 12–20 minutes.
If you change your environment or action quickly, the craving dies.
This is physiology, not psychology.

YOUR JOB IS NOT TO FIGHT THE BRAIN — BUT TO TRAIN IT
Because modern life does not match how the brain evolved, you must guide it intentionally:
• Give it structure.
• Remove harmful stimuli.
• Reward positive patterns.
• Repeat them consistently.
The brain adapts to repetition, predictability, and reward structure.
Eventually, it becomes obedient to the routines you set.
You don’t fight the brain.You teach it how to live in a world it was never designed for.

11/25/2025

Our clinic will operate on the following holiday schedule

2025 Holiday Hours
Wednesday, December 24, 2025: 10:00 AM–4:00 PM
Thursday, December 25, 2025: Closed
Friday, December 26, 2025: Closed
Saturday, December 27, 2025: Closed
Tuesday, December 30, 2025: 10:00 AM–6:00 PM
Wednesday, December 31, 2025: 10:00 AM–3:00 PM

2026 Holiday Hours
Thursday, January 1, 2026: Closed
Friday, January 2, 2026: 10:00 AM–4:00 PM

Make appointments accordingly and anticipate limited availability around the closure dates.

RINGING   in the ear is common, but the line between “normal” and “tinnitus” is straightforward once you know the patter...
11/21/2025

RINGING in the ear is common, but the line between “normal” and “tinnitus” is straightforward once you know the patterns.

Brief, harmless ringing and true tinnitus share some physiological pathways, but the underlying mechanisms differ in stability, intensity, and duration.

NORMAL, SHORT-LIVED RINGING
Momentary ringing comes from temporary, benign disruptions in the auditory system. Hair cells in the inner ear fire spontaneously when they reset after stimulation or fatigue, similar to a muscle twitch. Sudden changes in quiet-to-noise environments can cause neural circuits to momentarily misfire. Stress hormones and changes in blood pressure can alter the cochlea’s fluid dynamics, creating a quick, self-correcting distortion. These episodes resolve as the auditory system stabilizes; there is no structural damage or long-term dysregulation.

COMMON TRIGGER FOR NORMAL RINGING
Stress spikes, brief changes in silence, jaw tension, caffeine surges, dehydration, minor middle-ear pressure shifts, or a single loud impact noise. These create short aberrations in hair-cell signaling or auditory-nerve firing, but the system recalibrates quickly.

TINNITUS
Tinnitus occurs when the auditory pathway fails to recalibrate and instead enters a chronic hyperactive state. Damage or dysfunction in the cochlea can reduce normal input to the brain. In response, the auditory cortex increases gain (neural amplification) to compensate for missing signals. This amplification produces a constant internal noise. Once this maladaptive feedback loop is established, the ringing persists even if the original cause is no longer active. Tinnitus is a neuro-auditory disorder, not simply an “ear” problem.

CAUSES ASSOCIATED WITH TINNITUS
• Noise-induced hair-cell damage: Prolonged or intense sound exposure leads to synaptopathy (loss of nerve connections) even without obvious hearing loss.
• Age-related degeneration: Gradual loss of auditory nerve fibers alters how the brain processes sound.
• Middle-ear dysfunction: Chronic fluid buildup, Eustachian tube issues, or infections can distort sound transmission.
• Ototoxic medications: Some antibiotics, chemotherapy agents, and high doses of NSAIDs alter hair-cell ion channels and can trigger persistent ringing.
• Jaw and neck disorders: TMJ dysfunction and cervical spine tension feed abnormal sensory signals into the auditory pathway.
• Vascular abnormalities: Turbulent blood flow near the ear can produce rhythmic or continuous noise.
• Neurological factors: Auditory-cortex hyperexcitability, poor gating in the thalamus, and altered limbic-system responses all contribute to tinnitus persistence.
• Metabolic issues: Thyroid imbalance, anemia, and poor glucose regulation can all disrupt cochlear energy systems.

SEEK EVALUATION WHEN
• It lasts more than a week without improving
• It becomes constant or frequent
• It affects sleep, concentration, or mood
• It occurs after loud noise exposure
• It’s only in one ear
• It’s pulsatile
• You notice hearing loss, vertigo, or ear pain

Livonia, Michigan, US  My last day. Coming home. The clinic will be open on Tuesday November 18.
11/15/2025

Livonia, Michigan, US My last day. Coming home. The clinic will be open on Tuesday November 18.

November 11 — We Don’t Know Them All, But We Owe Them AllToday we pause to honor those who stood in danger so others cou...
11/11/2025

November 11 — We Don’t Know Them All, But We Owe Them All

Today we pause to honor those who stood in danger so others could live in safety.
Every name, known or unknown, represents courage, discipline, and sacrifice that shaped the world we live in.
Freedom and peace were not given—they were earned.
Take a moment to remember, to listen to the silence, and to be grateful.
Lest we forget.

Listening to Yourself Matters as Much as Hearing the WorldNot everyone needs a psychologist, but everyone needs awarenes...
11/07/2025

Listening to Yourself Matters as Much as Hearing the World

Not everyone needs a psychologist, but everyone needs awareness. Some people have a strong inner voice—they reflect, question, and guide themselves through life. Others struggle to quiet the noise of stress or uncertainty, and therapy helps them find that internal balance.

In both cases, the principle is the same: healing starts with listening. Whether it’s your mind or your hearing, awareness changes everything. The moment you start paying attention—truly listening—you begin to regain control.

Hearing aids help people reconnect with sound, but the deeper purpose is helping you connect with yourself and others again. Hearing clearly outside supports thinking clearly inside.

Listen to the world. Listen to your body. Most importantly, learn to listen to your inner voice. It’s the sound that keeps you balanced.

Address

5544 Calgary Trail NW
Edmonton, AB
T6H4K1

Opening Hours

Tuesday 10am - 6pm
Wednesday 12pm - 8pm
Thursday 12pm - 8pm
Friday 10am - 6pm
Saturday 10am - 4pm

Telephone

+17805544338

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