Difference between Hearing Aid Dispenser & Audiologist

Difference between Hearing Aid Dispenser & Audiologist

Audiologist: Doctoral degree in Audiology or a Master’s degree. Trained to treat, diagnose, and monitor disorders of the hearing and balance system. Trained in anatomy and physiology, amplification devices, cochlear implants, electrophysiology, acoustics, psychophysics, and counseling. Minimum education is 4 years of undergraduate school with a Bachelor’s degree and 4 years of doctoral level degree in audiology. They also have a supervised externship prior to state licensure and national certification. In total of 8 years of education post high school. The four years of the doctoral level education are focused on medical, diagnostic and rehabilitative aspects of hearing loss, hearing aids and the vestibular system. Upon completion, Audiologist must also pass a national standardized examination in order to be eligible for state licensure. In addition to their higher education, continuing education requirements must be met annuals for the Audiologist to maintain state licensure.

Hearing Aid Dispenser: They are trained in audiometric testing and hearing aid fittings only, mainly for the sale of hearing aids. According to ASHA about the NC State licensure board, their requirements are to be a person of good moral character, be 18 years of age or older, have an education to a four year course in an accredited high school and have passed a written and practical exam. In order for license renewal, 10 clocked hours of approved continuing education must be maintained annually.




Please call Triangle Hearing Services in Cary and Knightdale at 919 636 3006 for any questions.

Is Hearing Loss Linked to Diabetes?

Is Hearing Loss Linked to Diabetes?

Hearing loss & diabetes have been notorious for being the two most widespread health concerns in America. According to the American Diabetes Association (ADA), there have been nearly 30 million people in the US that have diabetes and an estimated 34.5 million have some degree of hearing loss. There always seems to be an overlap or in their history when a hearing test comes up.

The relation between the two is the possibility of the high blood glucose levels associated with diabetes causes damage to the small blood vessels in the inner ear. That is the same way diabetes can also damage the eyes & kidneys.  It is the reduced blood supply that hinders the body’s functionality.

There are 2 types of diabetes:

Type 1 typically affects children & young adults. It usually consists of an autoimmune response where the body does not produce enough insulin, resulting in the patient to take insulin daily.

Type 2 generally affects adults and is usually the more common of the two. It deeply impacts the circulatory systems throughout the body. It can cause strokes, heart attacks, kidney failures and HEARING LOSS.

Please contact at 919 636 3006 to schedule an appointment at Triangle Hearing Services in Cary or Knightdale.





Is It True that Smoking is Linked to Hearing Loss?


Is It True that Smoking is Linked to Hearing Loss?


Cigarettes contain formaldehyde, arsenic, ammonia and a lot more nasty chemicals that affect your hearing heath in a variety of ways.

For one, nicotine & carbon monoxide deplete oxygen levels and constrict blood vessels all over your body, in result affects the health of your inner ear that needs ample blood and oxygen level to maintain hair cell health.

A few examples of how it affects it directly with the health of our ear:

  • Nicotine interferes with neurotransmitters in the auditory nerve which are responsible for telling the brain what you just heard!
  • Nicotine can cause tinnitus (the ringing in your ear), dizziness & vertigo
  • Smoking in general causes irritation to the eustachian tube and the lining of the middle ear
  • Smoking damages the cells in the body in turn can damage DNA and cause diseases by turning those cells into free radicals.
  • Sensitivity to loud noises can also be causes by smoking. In result, you can be predisposed to developing noise induced hearing loss.

To read further about your hearing health care associated with smoking: https://www.healthyhearing.com/report/50940-Smoking-and-hearing-loss

Please call Triangle Hearing Services in Cary and Knightdale at 919.636.3006.

Two Hearing Aids vs One

Two Hearing Aids vs One

If you have hearing loss in both ears (bilateral hearing loss) then you are most likely meet the criteria for two hearing aids.

Why can’t I just wear one?

Better speech understanding– your brain can focus on the conversation you want to hear times two instead of working into overtime.

Better understanding in group/noisy settings– speech intelligibility is improved in difficult listening situation when having 2 hearing aids on.

Better sound quality– It’s like listening in stereo, with surround sound on. You have both speakers t gt the smoothest, sharpest and most natural sound quality. This is the same comparison used when using both hearing aids. Increase range from 180 degrees to 360 degrees. Greater range provides better sense of balance & sound quality.

Improvement on localization– Localization is another way of saying where sounds are coming from. Helps you location where the sound source is, especially if emergency vehicles are involved. Safety is always important. Also helps in social gathering, where the speaker is talking from in the room.

Less distortion noticed– wearing two hearing aids requires less volume than only wearing one. Therefore distortion is noticed a lot less. There is a smoother tone quality and better reproduction of amplified sounds.

Wider hearing range– An individual can hear sounds from a further distance with two ears.

Better sound identification– You can decipher what sound and words with two vs one as sounds can easily be confused. But with 2 hearing aids, it helps distinguish alike sounds.

Keeping both ears stimulated & active– “Use it or Lose it” Applies here greatly! When two hearing aids used, it stimulates that part of the brain vs using one. When the ear that does not have a hearing aid isn’t stimulated, the hearing loss deteriorates further over the year, as well as speech intelligibility.

Effortless Hearing– Wearing both of your hearing aids keeps you from straining to hear what people are saying. Straining leads to exhaustion when conversations should come naturally.

Balance! We are born with 2 ears, so its natural to wear two hearing aids as it helps balance the world for us.

Call Triangle Hearing Services at 919 636 3006. We have two locations-Cary and Knightdale.

Adapted from: http://www.betterhearing.org/

Can Middle Ear Infections Cause Permanent Hearing Loss?

Can Middle Ear Infections Cause Permanent Hearing Loss?

What is a Middle Ear Infection?
Another term it can be referred to is Otitis Media. It’s a common occurrence in childhood and can also happen in adulthood. Essentially, it’s a build of fluid in the air-filled space behind the ear drum and results in inflammation.

What are the symptoms of Middle Ear Infection?
Usually for younger children, they experience:
• Fever
• Constant scratching or pulling at the ears
• Slower to respond to voices and other sounds
• Irritability
• Secretions from the ear
For older children, adolescents and adults, these symptoms are common:
• Constant earache
• Pressure in the ears
• Difficulty understanding speech or engaging in conversation
• Feelings of dizziness or imbalance
• Vomiting or general nausea

Can It Cause a Hearing Loss?
Yes. It can cause a temporary hearing loss due to the fluid behind the ear drum. The fluid prevents from sounds being heard accurately and sometimes sounds muffled or under water. Chronis otitis media can cause a more long- term conductive hearing loss or damage in the middle ear since its occurrence is very often. Infants/toddlers who suffer from chronic otitis media should seek medical attention as it can hinder crucial learning periods for speech & language development.

If you have further questions, please call Triangle Hearing Services at 919 636 3006 in Cary, NC or 919 295 4655 in Knightdale, NC.

Hearing Loss

Hearing Loss

 The consequences of untreated hearing loss are real. Since we collect sound with our ears and process the sound in our brain, over time and without hearing assistance, we can lose the ability to understand the spoken word. This documented process is called “auditory deprivation.”

When you think about a conversation with all the sounds, the inflection and tempo changes, it makes communication extremely complicated. When a hearing loss has been present and untreated, the ability to follow the conversation can become extremely difficult. Without receiving the appropriate stimuli, the brain stops processing sounds like background noise and it can no longer filter speech correctly. You may answer a question incorrectly, withdraw, smile and pretend you understood the conversation. This can be particularly troublesome when you are visiting the doctor, and important information is being relayed.

Our goal is to maximize your speech understanding in all listening situations. Hearing devices help to solve communication problems and they help to preserve and protect the brain’s ability to recognize speech.

Hearing loss ranks number three in terms of medical diagnosis behind hypertension and arthritis. Often called the invisible disability, hearing loss happens slowly over time and may go unnoticed for years. Although there is no cure for certain forms of hearing loss, many patients can be helped, especially when the problem is recognized early.” Wearing hearing aids have been shown to help preserve the remaining hearing and speech clarity.

If you think you may have hearing loss, the most important step is to have your hearing tested by an Audiologist. The results will identify which frequencies or pitches you do or do not hear. And, if you do have a hearing loss, getting help has never been easier and with today’s advanced technology-you will get clear, crisp, more natural sound.

5 Reasons People Don’t Wear their Hearing Aids

5 Reasons People Don’t Wear their Hearing Aids

  • Their hearing aids aren’t comfortable
  • Their hearing aids don’t meet their sound expectations
  • Their hearing aids are too difficult to care for
  • Their hearing aids are embarrassing
  • Their hearing aids stopped providing a benefit

It is important to see your Doctor of Audiology if you or a loved one are not wearing their hearing aids.  There are solutions for each of these problems.  Whether it is a different style to help with comfort, a programming adjustment to help with sound quality, rechargeable hearing aids to make it easier, a smaller hearing aid that will be more discrete, or a repeat hearing test to make sure your hearing loss is stable, wearing your hearing aid is important.  As studies have shown that wearing your hearing aid helps preserve word understanding as well as deter dementia.

Call us at Triangle Hearing Services, our Cary, NC office at 919-636-3006 or our Knightdale, NC office at 919-295-4655 if you are experiencing any of these problems.

Is an in-the-ear hearing aid right for me?

Is an in-the-ear hearing aid right for me?

The idea of an invisible hearing aid sounds like a “no brainer”, however, here are some PROS and CONS that come with a smaller hearing aid:

PROS: Discrete, may be easier to insert, less vulnerable to wind noise

CONS: Smaller batteries (shorter batter life and harder to change), not as much “power” as behind the ear hearing aids.

Your Doctor of Audiology will help you determine what is right for you, depending on your lifestyle, dexterity, budget, and degree of hearing loss. If you’d like to find out more about the pros and cons of all styles of hearing aids, please contact Triangle Hearing Services, our Cary, NC office at 919-636-3006, or our Knightdale, NC office at 919-295-4655.

6 Night-Time Necessities for the Hard-of-Hearing

6 Night-Time Necessities for the Hard-of-Hearing

Smoke Alarms
Carbon Monoxide Detectors
Wake-Up Alarms
Door Lights
Phone Signalers
The Induction Loop

For people who are completely deaf, or who are unable to hear whatsoever when they take out their hearing aids, there are alarm systems that combine extremely loud alarms, blinking lights, and vibrators that shake your mattress.

If night time safety is a concern for either you or your loved one, please let Triangle Hearing Services, P.A. help you. Call our Cary NC office at 919-636-3006 or our Knightdale office at 919-295-4655.

5 Loud Noises That Could Damage Your Hearing

5 Loud Noises That Could Damage Your Hearing

Noise induced hearing loss (NIHL) occurs more frequently than you may think.  Factors that affect the occurrence of NIHL are the duration of the sound, the level of the sound and the proximity of the sound.  Any sound above 85dB can cause hearing loss after approximately eight hours of continuous exposure. However, if the noise level is 100dB, your hearing could be damaged in as little as 15 minutes.  Here are some common noises that may cause hearing loss.

  1. MP3 player/mobile devices at maximum volume (can reach up to 105dB)
  2. Music festival or concert
  3. Home Improvement Equipment (typically range from 110-140dB)
  4. Balloons (a single pop can reach up to 168dB)
  5. Gardening equipment (typically range from 85-100dB)

Safety Tips

  • Use hearing protectors.
  • If you are not the one using the device, move away from the noise.
  • Protect the hearing of any children near the device while it is in use.
  • If you find yourself without hearing protection, cover your ears with your hands.
  • If your mobile device or MP3 player has a volume control limit, a setting of 75dB is considered a safe listening level.

If you are concerned that you have been exposed to too much noise, please call our Triangle Hearing Services, Cary, NC office (919-636-3006) or our Triangle Hearing Services, Knightdale, NC office (919-295-4655) for a free hearing screening or a comprehensive hearing evaluation.