Mark S. Brigham D.O., Inc.

01/02/2026

Pets and hearing aids do not mix!

Besides being costly to replace, they can be very dangerous to the pets. Unfortunately, they smell funny, sound funny, and can look like an irresistible toy.

This is a good time to remind everybody that your hearing aid purchase automatically includes 3 years of loss and damage coverage from the manufacturer. If something like this happens within that 3-year window, the hearing aid can be replaced for substantially less than full price-however each one can only be replaced one time. After that, it would be full price.

12/31/2025

Ear wax. It happens. It is natural. It has a purpose.

With that said, TOO much can be a problem, but when does it become an issue?

Many patients talk about how they try to keep their ears clean, and many seem to have missed out on the past few decades of warnings against using Q-tips because they freely talk about it as though it is as reasonable an act as flossing their teeth. STOP IT!

Ear wax, or "cerumen" as the fancy folks in the lab coats may call it, is a natural secretion that your body produces to protect your ears, so don't be in such a rush to get rid of it. It may help your ears from drying out and it helps to collect dust and debris and keeps that stuff from reaching your ear drum. That nasty stuff that you're in such a hurry to get out of there is actually keeping the genuine nasty stuff from getting into your ear.

Your ears are self-cleaning and gradually push the old wax out. That Q-tip (or any other object that you're using to try to swab out wax) is pushing the was deeper in the canal after your ear has been working so hard to push it out. Besides being a significant risk for puncturing your eardrum with a foreign object (and yes, we do see this happening), you're doing the opposite of what you're trying to accomplish!

Ear wax becomes a problem when the production rate is greater than the expulsion rate. This can be made worse if you have hearing aids or wear earbuds for long periods because the wax will come up against this barrier and may not exit your body.

If you notice that your hearing is muffled but sometimes gets better, then you may be due for an ear cleaning. Wax buildup can block a significant amount of your hearing and is sometimes worsened after a shower. These are good signs that wax may be the culprit.

IF YOUR HEARING SUDDENLY DROPS IN ONE EAR, DO NOT ASSUME THAT IT IS WAX! Hopefully it is, but it may be a much more serious condition that will require immediate attention from an ENT to try to recover the lost hearing. If it IS a wax buildup, the staff at an ENT office has much more experience removing it than a walk-in clinic or family physician's office.

11/17/2025

Not all hearing protection is the same.

You are probably unaware of the enormous amount of choices available in hearing protection. It has become so much more than just a chunk of foam in your ear canal and there are options specifically made for a multitude of occupations, hobbies, and lifestyles. For all that we know about the dangers of noise levels and the abundance of noise induced hearing loss, there are still an astounding number of people that are choosing to expose their ears to dangerous situations on a regular basis.

The classic foam plugs are not ideal, but FAR better than nothing. It is not recommended to only use them in situations like a shooting range (where they should be used in addition to over-the-ear earmuff style protection) and they tend to fall short in settings where fidelity is desired, but they are a superior alternative to permanent hearing loss.

We work with multiple manufacturers of hearing protection to bring a very large range of options. These ear plugs are custom fit to each patient by taking impressions of your ears and sending them to the manufacturer to create a superior fitting plug for maximum comfort and performance. As an added bonus, you can customize the colors to get some pretty wild designs!

Just a few of the options available are:

Filtered musician earplugs protect your hearing while allowing sound to still pass through at a more uniform response so that you hear the range of frequencies, just at a safer volume. They can be selected with filters that have different decibel level reduction.

Shooter's ear protection comes in several options. There are custom molded solid plugs for maximum protection and there are an assortment of electronic options that allow for communication and hearing ambient sounds, but they activate to instantly suppress incoming shots. Some options for hunters even serve as in-ear amplifiers to enhance your surroundings to hear what you may be tracking but then electronically reduces shots to around 85 dB.

Earplugs for swimmers protects from waterborne ear infections and/or keeps water out of ears that have a perforation in the eardrum or for those that have ear tubes but do not want to give up swimming, and they float so you don't have to worry about losing them!

There are even special plugs for surfers and anybody else that may be highly active around the water. They also float and are filtered so that conversations can still be heard, but they are sealed around the filter to protect your ear canals from water and cold air.

Bikers can have special hearing protection to keep you safe from the potential of high decibel wind noise on long roadtrips. Even if there isn't much wind, motorcycles are LOUD and they will impact your hearing if you spend enough time on them. We have you covered!

There are types of hearing protection that are specifically designed for certain occupations. Dentists and their assistants are subject to very loud tools but still need to be able to communicate and there are plugs designed for that.

Sleep plugs are comfortable options for people that find themselves having to try to sleep in less-than-ideal conditions. Great for frequent flyers, riding shotgun on those long trips, or just in close proximity to snoring, CPAPs, loud hotels etc.

No matter the circumstances, children should absolutely have hearing protection in loud environments. Little growing ears will soon outgrow custom plugs, so most kids will do just fine with the over-the-ear earmuff styles that can serve them for several years. For swimmers, there are some OTC options or custom swim plugs may be more appropriate.

These are just some of the options available to keep those ears safe.

10/28/2025

Most people don't seem to realize that difficulty with hearing-more than any other sense-tends to impact everybody ELSE more than the person with the hearing loss. Hearing almost always takes a back seat to pretty much everything, so by the time that it IS addressed, there has been a great deal of life that has passed by.

We frequently hear from frustrated family members that cannot stand to be in the same room as a spouse or parent because the TV is painfully loud, but to the relative, it is just the right volume. It doesn't sound too loud to them, but like the person that doesn't notice that they are shouting over their headphones' volume, it is bothering everybody else in the room.

The cartoon is a lighthearted poke at a very stressful way of living. It is exhausting to live with somebody with hearing loss! To have to constantly repeat themselves and to often do it at a louder volume than their natural voice, wears down your family and friends and to be in a room where the TV is twice as loud as comfortable is a miserable experience.

With hearing loss, your private conversations aren't as private as you think, that video you're watching quietly on your phone is annoying people 15 feet away, and you can't even begin to imagine what all you're missing out on because the hearing loss sneaks up on you so slowly that you didn't notice those sounds slipping away.

Because of our ear's anatomy, most people will start to show some decline in the high frequencies long before you notice it in the low frequencies, but it occurs over years and at a rate that is imperceptible until it is quite significant. The high frequency range of your hearing includes subtle sounds that are crucial for your ability to understand WHAT people are saying. You can hear the talking, but the clarity is easily lost when you have a high frequency hearing loss. This can lead to misunderstandings, not realizing that people are even speaking at all, and missing out on things like rustling leaves, bird chirps, and a laughing 2 year old.

When people are properly fit with hearing aids, they are often amazed at the things that they hadn't realized had slipped away in their lives, but it is appreciated even more by their loved ones that no longer have to shout.

Hearing aid candidacy is determined by a comprehensive hearing evaluation from a licensed hearing heath practitioner AND the patient's openness to their benefit. If you refuse to accept that you'll benefit and if you refuse to give them the opportunity to help you, then you are not a candidate at this time. This is an unfortunate situation because through it all, the people around you are the ones that may be suffering the most.

10/08/2025

A few patients have inquired about at what point might they want to start looking at cochlear implants as an option. The candidacy for the implants is more complicated than just where on the chart your hearing lies, and we refer possible candidates to a cochlear implant specialist that works directly with University Hospitals to help determine if the person is a good candidate. UH works with all three manufacturers of the implants and through this process will determine which one is the best for your needs.

If you or somebody that you know is curious about cochlear implants, what they do, and how they differ from hearing aids, there will be a virtual event to discuss them next week on October 14th at 7pm. They are vastly different from hearing and are for when hearing aids are no longer sufficient. There is a significantly more involved adjustment period utilizing several different disciplines in the healthcare industry. Videos can be found on YouTube that replicate what something would sound like through an implant.

This is not meant to deter people that would benefit because for the right candidate, a cochlear implant can be a miracle. However, just like with first time hearing aid users, we want to be sure that your expectations are not too lofty.

If you are interested in attending this virtual event, please register at:

https://webapp.spotme.com/login/sonova/journey-to-sound-ohio-valley

09/08/2025

A recent study of over 7 MILLION Veterans has discovered possible connections between untreated hearing loss and Parkinson's Disease. SO many patients come in for their first hearing evaluation when they're in their 70s or 80s because hearing health is not prioritized by most people, although more and more examples of how hearing loss can impact other aspects of our health continue to surface.

A comprehensive hearing evaluation looks at the entire auditory system from your ear lobe to your brain and can detect serious medical conditions such as a tumor on the auditory/vestibular nerve. A baseline evaluation-the sooner, the better-can catch problems before they escalate.

"Results showed that those with hearing loss have a much higher risk of developing PD later in life. Research also showed that those who have the worst hearing loss seemed to have the highest risk of developing PD.

The study also looked at any link between the use of hearing aids and lowering the risk of developing PD. Researchers found that as long as people got a hearing aid within two years of having an abnormal hearing test, their risk of developing PD later in life was lowered substantially."

A new study from a database of millions of veterans nationwide reveals a possible connection between hearing loss and Parkinson’s disease.

07/10/2025

Traveling with allergies?
Some extra planning can help for a comfortable vacation.

Be mindful of airplanes and dry cabin air, which can irritate nasal passages. Bring saline spray or gel with you. If you know your ears struggle with changes in altitude (particularly ascent and descent), despite normal measures such as chewing gum or drinking water, consider using Afrin nasal spray or taking a decongestant one hour prior to flight. Other pressure reducing devices such as earplanes or mack’s flight guard may also help with pressure. ✈️

With hotels and Airbnb‘s don’t be afraid to ask for accommodations such as pet free and smoke free rooms. Some places might also offer dust mite covers for bedding. Consider bringing your own hypoallergenic pillowcase or a portable air purifier.

If traveling to a different climate, check pollen counts and forecasts ahead of time. If spending time outdoors, make sure to shower after and change clothes. If traveling by car, keep the windows up and use air conditioning. Remember to check & change your car cabin filter routinely.

Bring all necessary medications, supply of as needed meds, EpiPens, and nasal saline rinses like Nettie pots (please use distilled water).

If you’ve made it this far with reading my post, I’d like to know where you have been or plan to go this year?

05/23/2025

Sadly, the market is flooded with fake miracle pills and bizarre procedures that claim to fix tinnitus, however there really are legitimate attempts to tackle ringing/buzzing/choosing etc in the ears.

04/09/2025

In celebration of Cherish an Antique Day, here is the antique audiometer that is enjoying it's golden years in our testing room.

This model of Maico audiometer was manufactured between 1949 and 1953, however that was all of the information that the company was able to provide.

It still lights up, and it still plays tones!

03/03/2025

Coming soon to our office, medical ear piercings. 💎 what better place to provide ear piercings than a sterile, medical environment performed by ENT experts. This jewelry is QUALITY.
Pricing will be announced soon, along with special discounts to first 10 customers! Stay tuned for more info!
-Natalie Topp FNP-C

02/21/2025

It is fairly often that we have a patient that mentions a spouse or parent that they wish would get their hearing tested, but the other person is in denial. What that other person fails to realize, is that hearing loss is THE most difficult sense impairment...for those around you. If your vision is waning, you can sit closer to the TV. If your hearing is declining and you turn the TV up to where it sounds fine to you, you are likely to make things very unpleasant for those around you that do not have hearing loss. If your sense of taste declines, dinner won't be disrupted for others at your table, but your dinnertime conversation may be frustrating if your hearing isn't as good as you think that it is.

This video is a very quick approximation of what the same scene would sound like from the perspective of different kinds of hearing loss. Everybody's hearing configuration is different, but this represents the typical decline of high frequency hearing that we see most often.

This simulation is for those of you that may be exhausted from dealing with a loved one's declining hearing. It is an opportunity to glimpse into their world and experience the immense challenge that communication may be for them. The hearing loss occurs VERY gradually over many, many years. You may wonder how these examples would not be obvious to the person with the hearing loss, but remember that you are not taking it in in real time. It is like looking at a photo of the summer sky at 6 pm, then 8 pm, then 9:30, then 10:00. If you are outdoors from 6 to 10, the sunset happens so gradually that you wouldn't notice until it was getting pretty dark. Spread that over years (maybe decades) and that is closer to what a severe hearing loss is like.

This is not an effort to excuse their denial! It is just a way to hopefully understand how incredibly difficult it is to hear and listen with a hearing loss. If your spouse "ignores you" when they're watching TV, it is likely because listening can take so much effort and attention that they just are not aware that you are speaking. Getting somebody's attention BEFORE speaking is critical in these situations and remember that if they can see your face, communication is much easier. Remember how tricky it was to understand people when masks were everywhere? Yeah, it's like that all of the time for some people with hearing loss.

Oh, one last thing. Nobody does well when you're trying to talk to them from another room! Many frustrated patients bring this up. If you suspect hearing loss, try to remember that walls are not your friend during communication!

An example of what hearing loss sounds like using a clip from the Flintstones. This is a tool to help those with normal hearing relate to those suffering fro...

02/14/2025

Hearing protection is all too often overlooked.

When our ears are inundated with decibels, we may have a ringing or "fuzzy" feeling afterwards. That is called "temporary threshold shift", and that is your hearing thresholds (the softest volume that you can hear) being changed. Your ability to hear quiet sounds actually gets worse for a period of time. In other words, you experience a temporary hearing loss...or IS it temporary? There have been studies that suggest that on a very small level, a part of your auditory system may actually experience permanent damage.

If you experience enough of these temporary threshold shifts, it will become a permanent threshold shift-in other words, a detectable hearing loss. We tend to naturally lose high frequency hearing just from living. Add to that extreme volume levels, and you are asking a heck of a lot of a very tiny anatomical system.

You cannot shut your ears off. The mechanisms that allow us to process waves in the air into impulses of sound to the brain are on 100% of the time and the fluid in your inner ear is always moving which in turn is constantly causing motion of the hair cells in our inner ears. These hair cells are extremely durable, but they were never intended to process the abuse that our modern life presents. Once they are displaced, there is no recovering the hearing that is controlled by those hair cells.

Many of our patients report noise exposure that came at a time when ear protection was just not a thing that people did. The hazards of high levels of noise are well documented today and the options for hearing protection are vast, yet hearing protection is still not on the radar of many of the people that need it the most.

Without going into much detail about decibel levels and exposure time, let's just say that if you have to shout to be heard, the environment is likely too loud to be safe. Hearing loss usually manifests very slowly and is focused on a small section of our hearing at first. This small notch in our hearing is very easily overlooked since the rest of your hearing may be pretty good. As the assault to your ears continues, you can expect that notch in your hearing to worsen and spread. I have seen MANY patients with fantastic low frequency hearing that plummets in the high frequencies, and this very often makes it hard to detect the hearing loss for that person. They can hear so well in low and maybe middle frequencies that they don't notice the high frequency loss. These high frequencies are where the clarity of speech is, so you can hear people talking but may struggle to understand them or follow conversations. This is especially the case when there's some background noise.

If nothing else, foam ear plugs from any drug store will help. If you require something more, there are many options of filtered earplugs sold as "one size fits all" and beyond that, custom earplugs can be a game changer. There are specialty plugs for shooters, for musicians, for swimming, or even custom plugs just for a quieter environment (sleeping, studying, etc). We offer all of these options and work with a few different manufactures that pretty much just do earplugs or earmolds for hearing aids.

If you only want to keep really loud stuff out, foam plugs and/or earmuff hearing protection is fine. For shooters, it is recommended to use BOTH at the range. If specialty plugs are needed, we take ear impressions to ensure that the ear plugs will fit your specific ears, and then they are made in whatever color combination you'd like. Swimmer's plugs float just in case they do pop out, shooter's plugs have electronic components that allow you to hear and activate only when sounds above a certain decibel level are presented, and musician plugs are specially filtered to allow the sound to be at a reduced volume without compromising the frequency response. You can even get custom tips for your earbuds or communication earpieces.

Whatever method you use, use it consistently. FYI, a small pill carrier on a keychain can be repurposed to carry a set of earplugs everywhere. Protect what hearing you still have so that you don't need to come and see us down the road

For fun, here's a photo of the hair cells in a healthy ear and one that has experienced a great deal of damage: