{"version":"1.0.0","segments":[{"speaker":"Blaise Delfino","startTime":6.75,"endTime":9.24,"body":"You're tuned"},{"speaker":"Blaise Delfino","startTime":6.75,"endTime":9.24,"body":"into the hearing matters podcast"},{"speaker":"Blaise Delfino","startTime":9.24,"endTime":13.38,"body":"with Dr. Gregory Delfino and"},{"speaker":"Blaise Delfino","startTime":9.24,"endTime":13.38,"body":"Blaise Delfino of Audiology"},{"speaker":"Blaise Delfino","startTime":13.38,"endTime":17.22,"body":"Services and Fader Plugs. The"},{"speaker":"Blaise Delfino","startTime":13.38,"endTime":17.22,"body":"show that discusses best"},{"speaker":"Blaise Delfino","startTime":17.22,"endTime":22.08,"body":"practices, hearing technology,"},{"speaker":"Blaise Delfino","startTime":17.22,"endTime":22.08,"body":"and a growing national epidemic"},{"speaker":"Blaise Delfino","startTime":22.08,"endTime":25.38,"body":"- Hearing Loss. On today's"},{"speaker":"Blaise Delfino","startTime":22.08,"endTime":25.38,"body":"episode, we're going to be"},{"speaker":"Blaise Delfino","startTime":25.38,"endTime":30.9,"body":"discussing cognition, audition,"},{"speaker":"Blaise Delfino","startTime":25.38,"endTime":30.9,"body":"and amplification. And ladies"},{"speaker":"Blaise Delfino","startTime":30.9,"endTime":35.82,"body":"and gentlemen, I have to say Dr."},{"speaker":"Blaise Delfino","startTime":30.9,"endTime":35.82,"body":"Delfino and I are so excited for"},{"speaker":"Blaise Delfino","startTime":35.82,"endTime":40.2,"body":"this episode because we have a"},{"speaker":"Blaise Delfino","startTime":35.82,"endTime":40.2,"body":"very special guest on air with"},{"speaker":"Blaise Delfino","startTime":40.2,"endTime":45.87,"body":"us today. His name is Dr."},{"speaker":"Blaise Delfino","startTime":40.2,"endTime":45.87,"body":"Douglas Beck. Now, Dr. Beck's"},{"speaker":"Blaise Delfino","startTime":45.87,"endTime":50.31,"body":"professional career began in Los"},{"speaker":"Blaise Delfino","startTime":45.87,"endTime":50.31,"body":"Angeles at the House Ear"},{"speaker":"Blaise Delfino","startTime":50.31,"endTime":54.96,"body":"Institute in clinical audiology,"},{"speaker":"Blaise Delfino","startTime":50.31,"endTime":54.96,"body":"cochlear implant research and"},{"speaker":"Blaise Delfino","startTime":54.96,"endTime":59.52,"body":"intra operative cranial nerve"},{"speaker":"Blaise Delfino","startTime":54.96,"endTime":59.52,"body":"monitoring. In 1988, he was"},{"speaker":"Blaise Delfino","startTime":59.52,"endTime":63.36,"body":"appointed director of Audiology"},{"speaker":"Blaise Delfino","startTime":59.52,"endTime":63.36,"body":"at St. Louis University in the"},{"speaker":"Blaise Delfino","startTime":63.36,"endTime":66.78,"body":"department of otolaryngology"},{"speaker":"Blaise Delfino","startTime":63.36,"endTime":66.78,"body":"head and neck center. Eight"},{"speaker":"Blaise Delfino","startTime":66.78,"endTime":70.14,"body":"years later, he co-founded an"},{"speaker":"Blaise Delfino","startTime":66.78,"endTime":70.14,"body":"audiology and hearing aid"},{"speaker":"Blaise Delfino","startTime":70.14,"endTime":74.58,"body":"dispensing practice in St."},{"speaker":"Blaise Delfino","startTime":70.14,"endTime":74.58,"body":"Louis, Missouri. And in 1999, he"},{"speaker":"Blaise Delfino","startTime":74.58,"endTime":78.84,"body":"became president and editor in"},{"speaker":"Blaise Delfino","startTime":74.58,"endTime":78.84,"body":"chief of AudiologyOnline.com,"},{"speaker":"Blaise Delfino","startTime":79.29,"endTime":85.71,"body":"SpeechPathology.com and"},{"speaker":"Blaise Delfino","startTime":79.29,"endTime":85.71,"body":"HealthyHearing.com. Dr. Beck is"},{"speaker":"Blaise Delfino","startTime":85.71,"endTime":90.54,"body":"among the most prolific authors"},{"speaker":"Blaise Delfino","startTime":85.71,"endTime":90.54,"body":"in audiology, with 186"},{"speaker":"Blaise Delfino","startTime":90.57,"endTime":95.67,"body":"publications and almost 1300"},{"speaker":"Blaise Delfino","startTime":90.57,"endTime":95.67,"body":"abstracts. That is absolutely"},{"speaker":"Blaise Delfino","startTime":95.67,"endTime":100.29,"body":"incredible. And today, Doug Beck"},{"speaker":"Blaise Delfino","startTime":95.67,"endTime":100.29,"body":"is the Vice President of"},{"speaker":"Blaise Delfino","startTime":100.29,"endTime":104.19,"body":"Academic Sciences at Oticon."},{"speaker":"Blaise Delfino","startTime":100.29,"endTime":104.19,"body":"Welcome to hearing matters,"},{"speaker":"Blaise Delfino","startTime":104.19,"endTime":105.15,"body":"Doug! How are you?"},{"speaker":"Dr. Douglas L. Beck","startTime":105.81,"endTime":107.85,"body":"Thank You"},{"speaker":"Dr. Douglas L. Beck","startTime":105.81,"endTime":107.85,"body":"Blaise. Thank you, Greg. It's a"},{"speaker":"Dr. Douglas L. Beck","startTime":107.85,"endTime":109.44,"body":"joy. And I am fantastic."},{"speaker":"Dr. Gregory Delfino","startTime":109.86,"endTime":112.2,"body":"Great to"},{"speaker":"Dr. Gregory Delfino","startTime":109.86,"endTime":112.2,"body":"hear Doug. You're across the"},{"speaker":"Dr. Gregory Delfino","startTime":112.2,"endTime":116.88,"body":"country from us. And we're all"},{"speaker":"Dr. Gregory Delfino","startTime":112.2,"endTime":116.88,"body":"kind of itching to get out and"},{"speaker":"Dr. Gregory Delfino","startTime":116.88,"endTime":119.76,"body":"get a little bit more social."},{"speaker":"Dr. Gregory Delfino","startTime":116.88,"endTime":119.76,"body":"And it's it's so great to hear a"},{"speaker":"Dr. Gregory Delfino","startTime":119.76,"endTime":125.01,"body":"nice familiar voice and a chance"},{"speaker":"Dr. Gregory Delfino","startTime":119.76,"endTime":125.01,"body":"to, to catch up and get into a"},{"speaker":"Dr. Gregory Delfino","startTime":125.01,"endTime":127.74,"body":"very professional but personal"},{"speaker":"Dr. Gregory Delfino","startTime":125.01,"endTime":127.74,"body":"way as well."},{"speaker":"Dr. Douglas L. Beck","startTime":127.99,"endTime":130.03,"body":"Absolutely."},{"speaker":"Dr. Douglas L. Beck","startTime":127.99,"endTime":130.03,"body":"I've been looking forward to"},{"speaker":"Dr. Douglas L. Beck","startTime":130.03,"endTime":132.64,"body":"this for weeks. And thank you"},{"speaker":"Dr. Douglas L. Beck","startTime":130.03,"endTime":132.64,"body":"guys for the kind invitation."},{"speaker":"Dr. Douglas L. Beck","startTime":132.64,"endTime":135.94,"body":"It's very, very nice of you, and"},{"speaker":"Dr. Douglas L. Beck","startTime":132.64,"endTime":135.94,"body":"I hope that the conversation"},{"speaker":"Dr. Douglas L. Beck","startTime":135.94,"endTime":138.88,"body":"will be useful for your"},{"speaker":"Dr. Douglas L. Beck","startTime":135.94,"endTime":138.88,"body":"audience, which I know is vast"},{"speaker":"Dr. Douglas L. Beck","startTime":138.88,"endTime":140.38,"body":"and spans across the country."},{"speaker":"Blaise Delfino","startTime":141.01,"endTime":145.48,"body":"Dr. Beck now,"},{"speaker":"Blaise Delfino","startTime":141.01,"endTime":145.48,"body":"reading your bio, and I am a"},{"speaker":"Blaise Delfino","startTime":145.51,"endTime":149.41,"body":"younger and newer clinician in"},{"speaker":"Blaise Delfino","startTime":145.51,"endTime":149.41,"body":"the hearing healthcare world, I"},{"speaker":"Blaise Delfino","startTime":149.41,"endTime":152.23,"body":"guess you could say I'm"},{"speaker":"Blaise Delfino","startTime":149.41,"endTime":152.23,"body":"genetically predisposed, but I"},{"speaker":"Blaise Delfino","startTime":152.23,"endTime":156.01,"body":"have to say, reading your"},{"speaker":"Blaise Delfino","startTime":152.23,"endTime":156.01,"body":"biography, when do you find the"},{"speaker":"Blaise Delfino","startTime":156.01,"endTime":159.55,"body":"time to sleep? Because you're"},{"speaker":"Blaise Delfino","startTime":156.01,"endTime":159.55,"body":"you're doing all this stuff."},{"speaker":"Blaise Delfino","startTime":159.82,"endTime":161.53,"body":"That it's it's absolutely"},{"speaker":"Blaise Delfino","startTime":159.82,"endTime":161.53,"body":"incredible."},{"speaker":"Dr. Douglas L. Beck","startTime":163.44,"endTime":164.82,"body":"Well, you"},{"speaker":"Dr. Douglas L. Beck","startTime":163.44,"endTime":164.82,"body":"know that old saying that when"},{"speaker":"Dr. Douglas L. Beck","startTime":164.82,"endTime":167.64,"body":"you do when you when you work at"},{"speaker":"Dr. Douglas L. Beck","startTime":164.82,"endTime":167.64,"body":"something that you really like"},{"speaker":"Dr. Douglas L. Beck","startTime":167.64,"endTime":170.79,"body":"when you find your passion i"},{"speaker":"Dr. Douglas L. Beck","startTime":167.64,"endTime":170.79,"body":"life, you never work in you"},{"speaker":"Dr. Douglas L. Beck","startTime":170.79,"endTime":174.96,"body":"life. Well, I am I am probabl"},{"speaker":"Dr. Douglas L. Beck","startTime":170.79,"endTime":174.96,"body":"the luckiest audiologist on th"},{"speaker":"Dr. Douglas L. Beck","startTime":174.96,"endTime":178.35,"body":"planet because my jo"},{"speaker":"Dr. Douglas L. Beck","startTime":174.96,"endTime":178.35,"body":"description at Oticon is read"},{"speaker":"Dr. Douglas L. Beck","startTime":178.59,"endTime":182.94,"body":"write, research, repeat"},{"speaker":"Dr. Douglas L. Beck","startTime":178.59,"endTime":182.94,"body":"publish. That's it. It's lik"},{"speaker":"Dr. Douglas L. Beck","startTime":182.94,"endTime":185.49,"body":"five words, and that's what"},{"speaker":"Dr. Douglas L. Beck","startTime":182.94,"endTime":185.49,"body":"do. But you know, it's so muc"},{"speaker":"Dr. Douglas L. Beck","startTime":185.49,"endTime":189.18,"body":"fun for me, because every year"},{"speaker":"Dr. Douglas L. Beck","startTime":185.49,"endTime":189.18,"body":"it gets more interesting. Ever"},{"speaker":"Dr. Douglas L. Beck","startTime":189.18,"endTime":193.83,"body":"year, we uncover new phenomen"},{"speaker":"Dr. Douglas L. Beck","startTime":189.18,"endTime":193.83,"body":"related to hearing and listenin"},{"speaker":"Dr. Douglas L. Beck","startTime":193.83,"endTime":196.65,"body":"and you know, you can never sto"},{"speaker":"Dr. Douglas L. Beck","startTime":193.83,"endTime":196.65,"body":"learning, you know, you have t"},{"speaker":"Dr. Douglas L. Beck","startTime":196.65,"endTime":199.59,"body":"be an adult learner. Becaus"},{"speaker":"Dr. Douglas L. Beck","startTime":196.65,"endTime":199.59,"body":"when you get to that point whe"},{"speaker":"Dr. Douglas L. Beck","startTime":199.59,"endTime":202.71,"body":"e you say, \"Oh, I know all of th"},{"speaker":"Dr. Douglas L. Beck","startTime":199.59,"endTime":202.71,"body":"s\", then you become the most bo"},{"speaker":"Dr. Douglas L. Beck","startTime":202.71,"endTime":205.47,"body":"ing person on the planet and I d"},{"speaker":"Dr. Douglas L. Beck","startTime":202.71,"endTime":205.47,"body":"n't want to be that"},{"speaker":"Blaise Delfino","startTime":205.92,"endTime":208.59,"body":"So for any of"},{"speaker":"Blaise Delfino","startTime":205.92,"endTime":208.59,"body":"the newer clinicians listening"},{"speaker":"Blaise Delfino","startTime":208.59,"endTime":211.44,"body":"right now, if you do what you"},{"speaker":"Blaise Delfino","startTime":208.59,"endTime":211.44,"body":"love, you will never work a day"},{"speaker":"Blaise Delfino","startTime":211.44,"endTime":214.92,"body":"in your life. Now, Dr. Beck,"},{"speaker":"Blaise Delfino","startTime":211.44,"endTime":214.92,"body":"today we're going to be talking"},{"speaker":"Blaise Delfino","startTime":214.92,"endTime":219.81,"body":"about cognition, audition, and"},{"speaker":"Blaise Delfino","startTime":214.92,"endTime":219.81,"body":"amplification. So for our"},{"speaker":"Blaise Delfino","startTime":219.81,"endTime":223.56,"body":"listeners right now, can you"},{"speaker":"Blaise Delfino","startTime":219.81,"endTime":223.56,"body":"just briefly in layman's terms"},{"speaker":"Blaise Delfino","startTime":223.56,"endTime":225.66,"body":"define cognition and audition?"},{"speaker":"Dr. Douglas L. Beck","startTime":226.86,"endTime":229.47,"body":"Yeah, so"},{"speaker":"Dr. Douglas L. Beck","startTime":226.86,"endTime":229.47,"body":"and Greg, feel free to jump in"},{"speaker":"Dr. Douglas L. Beck","startTime":229.47,"endTime":230.94,"body":"here because Greg's an expert in"},{"speaker":"Dr. Douglas L. Beck","startTime":229.47,"endTime":230.94,"body":"the same area. But, you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":230.94,"endTime":238.08,"body":"cognition is your ability to"},{"speaker":"Dr. Douglas L. Beck","startTime":230.94,"endTime":238.08,"body":"know. Cognition is your your"},{"speaker":"Dr. Douglas L. Beck","startTime":238.08,"endTime":243.09,"body":"self awareness and cognition."},{"speaker":"Dr. Douglas L. Beck","startTime":238.08,"endTime":243.09,"body":"There's no one singular"},{"speaker":"Dr. Douglas L. Beck","startTime":243.09,"endTime":246.45,"body":"definition that meets all the"},{"speaker":"Dr. Douglas L. Beck","startTime":243.09,"endTime":246.45,"body":"needs of the people who use the"},{"speaker":"Dr. Douglas L. Beck","startTime":246.45,"endTime":250.41,"body":"term. When we talk about"},{"speaker":"Dr. Douglas L. Beck","startTime":246.45,"endTime":250.41,"body":"cognition, human beings are"},{"speaker":"Dr. Douglas L. Beck","startTime":250.41,"endTime":253.62,"body":"spectacularly different from all"},{"speaker":"Dr. Douglas L. Beck","startTime":250.41,"endTime":253.62,"body":"other animals. What do you think"},{"speaker":"Dr. Douglas L. Beck","startTime":253.62,"endTime":257.7,"body":"about things like hearing,"},{"speaker":"Dr. Douglas L. Beck","startTime":253.62,"endTime":257.7,"body":"listening, cognition, language -"},{"speaker":"Dr. Douglas L. Beck","startTime":257.88,"endTime":260.94,"body":"this is what separates us it's"},{"speaker":"Dr. Douglas L. Beck","startTime":257.88,"endTime":260.94,"body":"not our hearing. human hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":260.94,"endTime":263.58,"body":"is quite poor in the animal"},{"speaker":"Dr. Douglas L. Beck","startTime":260.94,"endTime":263.58,"body":"kingdom, it's 20 hertz to about"},{"speaker":"Dr. Douglas L. Beck","startTime":263.58,"endTime":267.36,"body":"20,000 hertz. Well, my dog that"},{"speaker":"Dr. Douglas L. Beck","startTime":263.58,"endTime":267.36,"body":"you may hear whining that's a 70"},{"speaker":"Dr. Douglas L. Beck","startTime":267.36,"endTime":271.17,"body":"pounds of German Shepherd. She"},{"speaker":"Dr. Douglas L. Beck","startTime":267.36,"endTime":271.17,"body":"is, she can hear at  about 38"},{"speaker":"Dr. Douglas L. Beck","startTime":271.2,"endTime":274.92,"body":"40,000 hertz whales, dolphins"},{"speaker":"Dr. Douglas L. Beck","startTime":271.2,"endTime":274.92,"body":"porpoises can hear you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":274.92,"endTime":278.64,"body":"hundred hundred and 40,000 to"},{"speaker":"Dr. Douglas L. Beck","startTime":274.92,"endTime":278.64,"body":"human hearing is not very good"},{"speaker":"Dr. Douglas L. Beck","startTime":278.64,"endTime":282.51,"body":"in the animal kingdom or mammals"},{"speaker":"Dr. Douglas L. Beck","startTime":278.64,"endTime":282.51,"body":"or, or any such being but if you"},{"speaker":"Dr. Douglas L. Beck","startTime":282.51,"endTime":285.87,"body":"think about our listening, well,"},{"speaker":"Dr. Douglas L. Beck","startTime":282.51,"endTime":285.87,"body":"that's a different world because"},{"speaker":"Dr. Douglas L. Beck","startTime":285.87,"endTime":290.28,"body":"we can assign meaning to sound."},{"speaker":"Dr. Douglas L. Beck","startTime":285.87,"endTime":290.28,"body":"We can take language and there's"},{"speaker":"Dr. Douglas L. Beck","startTime":290.28,"endTime":292.92,"body":"hundreds of languages across the"},{"speaker":"Dr. Douglas L. Beck","startTime":290.28,"endTime":292.92,"body":"globe. And we can talk about the"},{"speaker":"Dr. Douglas L. Beck","startTime":292.92,"endTime":296.58,"body":"past the future we can talk"},{"speaker":"Dr. Douglas L. Beck","startTime":292.92,"endTime":296.58,"body":"about ideas and concepts, and"},{"speaker":"Dr. Douglas L. Beck","startTime":296.58,"endTime":299.97,"body":"you know, dogs and cats and"},{"speaker":"Dr. Douglas L. Beck","startTime":296.58,"endTime":299.97,"body":"cattle and horses, you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":299.97,"endTime":302.61,"body":"They're kind of limited to"},{"speaker":"Dr. Douglas L. Beck","startTime":299.97,"endTime":302.61,"body":"alerting to sounds, or maybe,"},{"speaker":"Dr. Douglas L. Beck","startTime":303.24,"endTime":306.21,"body":"you know, they make a purring"},{"speaker":"Dr. Douglas L. Beck","startTime":303.24,"endTime":306.21,"body":"sound if they're happy, but they"},{"speaker":"Dr. Douglas L. Beck","startTime":306.21,"endTime":308.97,"body":"don't have language anywhere"},{"speaker":"Dr. Douglas L. Beck","startTime":306.21,"endTime":308.97,"body":"near like what we have. And"},{"speaker":"Dr. Douglas L. Beck","startTime":308.97,"endTime":312.48,"body":"that's what separates us. So"},{"speaker":"Dr. Douglas L. Beck","startTime":308.97,"endTime":312.48,"body":"cognition is all of that and"},{"speaker":"Dr. Douglas L. Beck","startTime":312.48,"endTime":315.84,"body":"more, it's your ability to take"},{"speaker":"Dr. Douglas L. Beck","startTime":312.48,"endTime":315.84,"body":"in sensory information from your"},{"speaker":"Dr. Douglas L. Beck","startTime":315.84,"endTime":319.8,"body":"five senses and to use it to"},{"speaker":"Dr. Douglas L. Beck","startTime":315.84,"endTime":319.8,"body":"your own advantage by thinking,"},{"speaker":"Dr. Douglas L. Beck","startTime":320.01,"endTime":323.58,"body":"and by thinking deep thoughts"},{"speaker":"Dr. Douglas L. Beck","startTime":320.01,"endTime":323.58,"body":"that allow you to assign meaning"},{"speaker":"Dr. Douglas L. Beck","startTime":323.76,"endTime":328.26,"body":"to sound. So that's cognition,"},{"speaker":"Dr. Douglas L. Beck","startTime":323.76,"endTime":328.26,"body":"audition is what you do with"},{"speaker":"Dr. Douglas L. Beck","startTime":328.26,"endTime":330.6,"body":"what you're hear. You know,"},{"speaker":"Dr. Douglas L. Beck","startTime":328.26,"endTime":330.6,"body":"everybody hears a little bit"},{"speaker":"Dr. Douglas L. Beck","startTime":330.6,"endTime":333.24,"body":"differently, we have ranges of"},{"speaker":"Dr. Douglas L. Beck","startTime":330.6,"endTime":333.24,"body":"normal hearing, but they're not"},{"speaker":"Dr. Douglas L. Beck","startTime":333.24,"endTime":337.05,"body":"really scientifically based."},{"speaker":"Dr. Douglas L. Beck","startTime":333.24,"endTime":337.05,"body":"They're convenience based. And"},{"speaker":"Dr. Douglas L. Beck","startTime":337.05,"endTime":341.25,"body":"and so audition is what you do"},{"speaker":"Dr. Douglas L. Beck","startTime":337.05,"endTime":341.25,"body":"with what you hear how your"},{"speaker":"Dr. Douglas L. Beck","startTime":341.25,"endTime":346.68,"body":"brain responds, how your brain"},{"speaker":"Dr. Douglas L. Beck","startTime":341.25,"endTime":346.68,"body":"processes sound. And then, so we"},{"speaker":"Dr. Douglas L. Beck","startTime":346.68,"endTime":349.68,"body":"take hearing, which is just"},{"speaker":"Dr. Douglas L. Beck","startTime":346.68,"endTime":349.68,"body":"perceiving sound. And if"},{"speaker":"Dr. Douglas L. Beck","startTime":349.68,"endTime":352.65,"body":"everything is working properly,"},{"speaker":"Dr. Douglas L. Beck","startTime":349.68,"endTime":352.65,"body":"then we can listen we can assign"},{"speaker":"Dr. Douglas L. Beck","startTime":352.65,"endTime":355.56,"body":"meaning to sound. And that"},{"speaker":"Dr. Douglas L. Beck","startTime":352.65,"endTime":355.56,"body":"contributes tremendously to our"},{"speaker":"Dr. Douglas L. Beck","startTime":355.56,"endTime":356.67,"body":"cognitive abilities."},{"speaker":"Blaise Delfino","startTime":357.65,"endTime":361.22,"body":"Doug. Today,"},{"speaker":"Blaise Delfino","startTime":357.65,"endTime":361.22,"body":"patients really live in a world"},{"speaker":"Blaise Delfino","startTime":361.22,"endTime":366.53,"body":"where cognition, attention,"},{"speaker":"Blaise Delfino","startTime":361.22,"endTime":366.53,"body":"memory, and hearing each play"},{"speaker":"Blaise Delfino","startTime":366.53,"endTime":370.37,"body":"critical roles. In listening"},{"speaker":"Blaise Delfino","startTime":366.53,"endTime":370.37,"body":"now, we're going to be talking"},{"speaker":"Blaise Delfino","startTime":370.37,"endTime":374.0,"body":"about language, which is a code"},{"speaker":"Blaise Delfino","startTime":370.37,"endTime":374.0,"body":"in which ideas are shared and"},{"speaker":"Blaise Delfino","startTime":374.0,"endTime":377.84,"body":"speech, which is a neuromuscular"},{"speaker":"Blaise Delfino","startTime":374.0,"endTime":377.84,"body":"process. But when we talk about"},{"speaker":"Blaise Delfino","startTime":377.84,"endTime":382.73,"body":"listening, Doug, passive and"},{"speaker":"Blaise Delfino","startTime":377.84,"endTime":382.73,"body":"active listening, especially"},{"speaker":"Blaise Delfino","startTime":382.73,"endTime":386.0,"body":"with that cognition, that top"},{"speaker":"Blaise Delfino","startTime":382.73,"endTime":386.0,"body":"down, bottom up approach,"},{"speaker":"Blaise Delfino","startTime":386.0,"endTime":388.82,"body":"there's a lot of terms we're"},{"speaker":"Blaise Delfino","startTime":386.0,"endTime":388.82,"body":"going to throw out today. So"},{"speaker":"Blaise Delfino","startTime":388.82,"endTime":393.08,"body":"thank you for defining in those"},{"speaker":"Blaise Delfino","startTime":388.82,"endTime":393.08,"body":"layman's terms, the difference"},{"speaker":"Blaise Delfino","startTime":393.08,"endTime":397.25,"body":"between cognition and audition"},{"speaker":"Blaise Delfino","startTime":393.08,"endTime":397.25,"body":"now dug out of curiosity, and"},{"speaker":"Blaise Delfino","startTime":397.25,"endTime":401.51,"body":"for our patients and clinicians"},{"speaker":"Blaise Delfino","startTime":397.25,"endTime":401.51,"body":"listening right now, let's dive"},{"speaker":"Blaise Delfino","startTime":401.51,"endTime":405.95,"body":"into the top down bottom up"},{"speaker":"Blaise Delfino","startTime":401.51,"endTime":405.95,"body":"approach, especially when it"},{"speaker":"Blaise Delfino","startTime":405.95,"endTime":410.48,"body":"comes into terms of fitting"},{"speaker":"Blaise Delfino","startTime":405.95,"endTime":410.48,"body":"patients with hearing aids, how"},{"speaker":"Blaise Delfino","startTime":410.48,"endTime":415.46,"body":"essential is, as a clinician our"},{"speaker":"Blaise Delfino","startTime":410.48,"endTime":415.46,"body":"understanding of that top down"},{"speaker":"Blaise Delfino","startTime":415.46,"endTime":416.48,"body":"bottom up approach?"},{"speaker":"Dr. Douglas L. Beck","startTime":416.96,"endTime":419.96,"body":"Yeah, well,"},{"speaker":"Dr. Douglas L. Beck","startTime":416.96,"endTime":419.96,"body":"it's very important because it"},{"speaker":"Dr. Douglas L. Beck","startTime":419.96,"endTime":422.03,"body":"says, that's a great question. I"},{"speaker":"Dr. Douglas L. Beck","startTime":419.96,"endTime":422.03,"body":"haven't been asked that in a"},{"speaker":"Dr. Douglas L. Beck","startTime":422.03,"endTime":426.59,"body":"while. The bottom up idea is you"},{"speaker":"Dr. Douglas L. Beck","startTime":422.03,"endTime":426.59,"body":"have five senses. Now in"},{"speaker":"Dr. Douglas L. Beck","startTime":426.59,"endTime":429.44,"body":"reality, humans have about 15"},{"speaker":"Dr. Douglas L. Beck","startTime":426.59,"endTime":429.44,"body":"senses, but but you know, the"},{"speaker":"Dr. Douglas L. Beck","startTime":429.44,"endTime":432.08,"body":"five primary ones you learned"},{"speaker":"Dr. Douglas L. Beck","startTime":429.44,"endTime":432.08,"body":"about high school or grade"},{"speaker":"Dr. Douglas L. Beck","startTime":432.08,"endTime":435.68,"body":"school. So you have vision you"},{"speaker":"Dr. Douglas L. Beck","startTime":432.08,"endTime":435.68,"body":"have hearing you have touch,"},{"speaker":"Dr. Douglas L. Beck","startTime":435.71,"endTime":439.37,"body":"smell, and taste. So those are"},{"speaker":"Dr. Douglas L. Beck","startTime":435.71,"endTime":439.37,"body":"your five primaries? Well, all"},{"speaker":"Dr. Douglas L. Beck","startTime":439.4,"endTime":442.7,"body":"when you're born, you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":439.4,"endTime":442.7,"body":"we're kind of a blank slate and"},{"speaker":"Dr. Douglas L. Beck","startTime":442.7,"endTime":447.5,"body":"and all the information your"},{"speaker":"Dr. Douglas L. Beck","startTime":442.7,"endTime":447.5,"body":"brain takes in, comes in through"},{"speaker":"Dr. Douglas L. Beck","startTime":447.5,"endTime":450.05,"body":"those five senses, from what you"},{"speaker":"Dr. Douglas L. Beck","startTime":447.5,"endTime":450.05,"body":"hear what you see what you"},{"speaker":"Dr. Douglas L. Beck","startTime":450.05,"endTime":452.78,"body":"touch, what you smell, what you"},{"speaker":"Dr. Douglas L. Beck","startTime":450.05,"endTime":452.78,"body":"taste. And your brain then has"},{"speaker":"Dr. Douglas L. Beck","startTime":452.78,"endTime":455.3,"body":"to organize all of that, well,"},{"speaker":"Dr. Douglas L. Beck","startTime":452.78,"endTime":455.3,"body":"if you have a relatively normal"},{"speaker":"Dr. Douglas L. Beck","startTime":455.3,"endTime":458.42,"body":"brain and normal ability, we can"},{"speaker":"Dr. Douglas L. Beck","startTime":455.3,"endTime":458.42,"body":"kind of predict how that's going"},{"speaker":"Dr. Douglas L. Beck","startTime":458.42,"endTime":460.91,"body":"to go. But there are people who"},{"speaker":"Dr. Douglas L. Beck","startTime":458.42,"endTime":460.91,"body":"have extraordinarily good"},{"speaker":"Dr. Douglas L. Beck","startTime":460.91,"endTime":463.1,"body":"ability, you think about"},{"speaker":"Dr. Douglas L. Beck","startTime":460.91,"endTime":463.1,"body":"somebody like a Mozart or"},{"speaker":"Dr. Douglas L. Beck","startTime":463.1,"endTime":467.36,"body":"Beethoven composing symphonies"},{"speaker":"Dr. Douglas L. Beck","startTime":463.1,"endTime":467.36,"body":"at age nine, you know that"},{"speaker":"Dr. Douglas L. Beck","startTime":467.36,"endTime":470.39,"body":"that's an extraordinary ability"},{"speaker":"Dr. Douglas L. Beck","startTime":467.36,"endTime":470.39,"body":"that most of us don't have. And"},{"speaker":"Dr. Douglas L. Beck","startTime":470.39,"endTime":473.09,"body":"did they have better sensory"},{"speaker":"Dr. Douglas L. Beck","startTime":470.39,"endTime":473.09,"body":"perception than the rest of us?"},{"speaker":"Dr. Douglas L. Beck","startTime":473.42,"endTime":476.36,"body":"Probably not. But you know, what"},{"speaker":"Dr. Douglas L. Beck","startTime":473.42,"endTime":476.36,"body":"they had, they had a brain that"},{"speaker":"Dr. Douglas L. Beck","startTime":476.36,"endTime":479.84,"body":"was able to organize information"},{"speaker":"Dr. Douglas L. Beck","startTime":476.36,"endTime":479.84,"body":"and use it quite differently,"},{"speaker":"Dr. Douglas L. Beck","startTime":479.84,"endTime":483.68,"body":"and in an advanced form. So when"},{"speaker":"Dr. Douglas L. Beck","startTime":479.84,"endTime":483.68,"body":"you think about people like"},{"speaker":"Dr. Douglas L. Beck","startTime":483.83,"endTime":487.4,"body":"Steve Jobs, or you think about"},{"speaker":"Dr. Douglas L. Beck","startTime":483.83,"endTime":487.4,"body":"people like Einstein, their"},{"speaker":"Dr. Douglas L. Beck","startTime":487.4,"endTime":490.55,"body":"sensory perception was probably"},{"speaker":"Dr. Douglas L. Beck","startTime":487.4,"endTime":490.55,"body":"not much better than yours or"},{"speaker":"Dr. Douglas L. Beck","startTime":490.55,"endTime":493.22,"body":"mine. But what they could do is"},{"speaker":"Dr. Douglas L. Beck","startTime":490.55,"endTime":493.22,"body":"organize and use that"},{"speaker":"Dr. Douglas L. Beck","startTime":493.22,"endTime":495.77,"body":"information differently, they"},{"speaker":"Dr. Douglas L. Beck","startTime":493.22,"endTime":495.77,"body":"probably got the same"},{"speaker":"Dr. Douglas L. Beck","startTime":495.77,"endTime":499.07,"body":"information that you and I get."},{"speaker":"Dr. Douglas L. Beck","startTime":495.77,"endTime":499.07,"body":"So bottom up, is your sensory"},{"speaker":"Dr. Douglas L. Beck","startTime":499.07,"endTime":502.85,"body":"input to your brain. top down,"},{"speaker":"Dr. Douglas L. Beck","startTime":499.07,"endTime":502.85,"body":"is what your brain does with"},{"speaker":"Dr. Douglas L. Beck","startTime":502.85,"endTime":506.72,"body":"what it gets, so that's where"},{"speaker":"Dr. Douglas L. Beck","startTime":502.85,"endTime":506.72,"body":"the sensory information becomes"},{"speaker":"Dr. Douglas L. Beck","startTime":506.72,"endTime":510.53,"body":"kind of cognitive, right? Your"},{"speaker":"Dr. Douglas L. Beck","startTime":506.72,"endTime":510.53,"body":"brain organizes it makes sense"},{"speaker":"Dr. Douglas L. Beck","startTime":510.53,"endTime":514.13,"body":"of it assigns meaning to it."},{"speaker":"Dr. Douglas L. Beck","startTime":510.53,"endTime":514.13,"body":"Now, in particular, when you ask"},{"speaker":"Dr. Douglas L. Beck","startTime":514.13,"endTime":518.45,"body":"about how does that work with"},{"speaker":"Dr. Douglas L. Beck","startTime":514.13,"endTime":518.45,"body":"hearing aids? Well, the more the"},{"speaker":"Dr. Douglas L. Beck","startTime":518.45,"endTime":523.52,"body":"more and hearing aid is able to"},{"speaker":"Dr. Douglas L. Beck","startTime":518.45,"endTime":523.52,"body":"replicate the sounds around you,"},{"speaker":"Dr. Douglas L. Beck","startTime":523.97,"endTime":526.52,"body":"the better it is for your brain,"},{"speaker":"Dr. Douglas L. Beck","startTime":523.97,"endTime":526.52,"body":"for instance, most people just"},{"speaker":"Dr. Douglas L. Beck","startTime":526.52,"endTime":529.64,"body":"think, well, you just need to"},{"speaker":"Dr. Douglas L. Beck","startTime":526.52,"endTime":529.64,"body":"hear louder. Now, that's not at"},{"speaker":"Dr. Douglas L. Beck","startTime":529.64,"endTime":533.63,"body":"all. That's what we thought 75"},{"speaker":"Dr. Douglas L. Beck","startTime":529.64,"endTime":533.63,"body":"years ago, when you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":533.63,"endTime":537.05,"body":"audiology started in World War"},{"speaker":"Dr. Douglas L. Beck","startTime":533.63,"endTime":537.05,"body":"Two, so 75 years ago. And it"},{"speaker":"Dr. Douglas L. Beck","startTime":537.05,"endTime":539.69,"body":"used to just be that if you"},{"speaker":"Dr. Douglas L. Beck","startTime":537.05,"endTime":539.69,"body":"could make things loud enough,"},{"speaker":"Dr. Douglas L. Beck","startTime":539.69,"endTime":542.51,"body":"if you can make them Audible,"},{"speaker":"Dr. Douglas L. Beck","startTime":539.69,"endTime":542.51,"body":"that people with hearing loss"},{"speaker":"Dr. Douglas L. Beck","startTime":542.57,"endTime":545.09,"body":"would be happy, well, not so"},{"speaker":"Dr. Douglas L. Beck","startTime":542.57,"endTime":545.09,"body":"much. Because what happens when"},{"speaker":"Dr. Douglas L. Beck","startTime":545.09,"endTime":548.93,"body":"you just make it louder, you"},{"speaker":"Dr. Douglas L. Beck","startTime":545.09,"endTime":548.93,"body":"lose the spatial cues. Now the"},{"speaker":"Dr. Douglas L. Beck","startTime":548.93,"endTime":552.14,"body":"spatial cues, sound a little bit"},{"speaker":"Dr. Douglas L. Beck","startTime":548.93,"endTime":552.14,"body":"weird. But here's here's how"},{"speaker":"Dr. Douglas L. Beck","startTime":552.14,"endTime":555.23,"body":"that works. Your left and right"},{"speaker":"Dr. Douglas L. Beck","startTime":552.14,"endTime":555.23,"body":"your actually do not hear the"},{"speaker":"Dr. Douglas L. Beck","startTime":555.23,"endTime":558.35,"body":"same thing. Your left ear is"},{"speaker":"Dr. Douglas L. Beck","startTime":555.23,"endTime":558.35,"body":"supposing a sound is coming from"},{"speaker":"Dr. Douglas L. Beck","startTime":558.35,"endTime":561.86,"body":"your left side, your left ear"},{"speaker":"Dr. Douglas L. Beck","startTime":558.35,"endTime":561.86,"body":"hears it first. That's a"},{"speaker":"Dr. Douglas L. Beck","startTime":561.86,"endTime":564.86,"body":"tremendous cue to your brain as"},{"speaker":"Dr. Douglas L. Beck","startTime":561.86,"endTime":564.86,"body":"to where the sound was coming"},{"speaker":"Dr. Douglas L. Beck","startTime":564.86,"endTime":568.04,"body":"from. So you know where to pay"},{"speaker":"Dr. Douglas L. Beck","startTime":564.86,"endTime":568.04,"body":"attention. Now, the other thing"},{"speaker":"Dr. Douglas L. Beck","startTime":568.04,"endTime":571.58,"body":"that happens here is and that's"},{"speaker":"Dr. Douglas L. Beck","startTime":568.04,"endTime":571.58,"body":"called a timing difference, is"},{"speaker":"Dr. Douglas L. Beck","startTime":571.58,"endTime":575.12,"body":"there's also an internal"},{"speaker":"Dr. Douglas L. Beck","startTime":571.58,"endTime":575.12,"body":"loudness difference. So Greg and"},{"speaker":"Dr. Douglas L. Beck","startTime":575.12,"endTime":577.22,"body":"I were talking about this last"},{"speaker":"Dr. Douglas L. Beck","startTime":575.12,"endTime":577.22,"body":"time I was in Pennsylvania,"},{"speaker":"Dr. Douglas L. Beck","startTime":577.22,"endTime":580.37,"body":"actually at a conference you"},{"speaker":"Dr. Douglas L. Beck","startTime":577.22,"endTime":580.37,"body":"guys ran. And what happens is,"},{"speaker":"Dr. Douglas L. Beck","startTime":580.58,"endTime":584.48,"body":"if somebody's speaking to me"},{"speaker":"Dr. Douglas L. Beck","startTime":580.58,"endTime":584.48,"body":"from my left ear, if I were to"},{"speaker":"Dr. Douglas L. Beck","startTime":584.48,"endTime":588.14,"body":"measure the sounds at five, six"},{"speaker":"Dr. Douglas L. Beck","startTime":584.48,"endTime":588.14,"body":"and 7000 hertz at my left ear,"},{"speaker":"Dr. Douglas L. Beck","startTime":588.14,"endTime":592.67,"body":"and my right ear, it is 20"},{"speaker":"Dr. Douglas L. Beck","startTime":588.14,"endTime":592.67,"body":"decibels louder in my left ear."},{"speaker":"Dr. Douglas L. Beck","startTime":592.82,"endTime":595.76,"body":"Now, all of those cues, those"},{"speaker":"Dr. Douglas L. Beck","startTime":592.82,"endTime":595.76,"body":"differences between the left and"},{"speaker":"Dr. Douglas L. Beck","startTime":595.76,"endTime":598.58,"body":"the right ear, that tells me"},{"speaker":"Dr. Douglas L. Beck","startTime":595.76,"endTime":598.58,"body":"where to pay attention. So what"},{"speaker":"Dr. Douglas L. Beck","startTime":598.58,"endTime":601.73,"body":"you're looking for in a hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":598.58,"endTime":601.73,"body":"aid fitting. Are hearing aids"},{"speaker":"Dr. Douglas L. Beck","startTime":601.73,"endTime":604.19,"body":"that don't just make things"},{"speaker":"Dr. Douglas L. Beck","startTime":601.73,"endTime":604.19,"body":"louder. I mean, louder is"},{"speaker":"Dr. Douglas L. Beck","startTime":604.19,"endTime":607.52,"body":"better. You know, in that"},{"speaker":"Dr. Douglas L. Beck","startTime":604.19,"endTime":607.52,"body":"regard, if you have hearing loss"},{"speaker":"Dr. Douglas L. Beck","startTime":607.52,"endTime":609.65,"body":"once we can make it so you can"},{"speaker":"Dr. Douglas L. Beck","startTime":607.52,"endTime":609.65,"body":"hear sounds, of course, that's"},{"speaker":"Dr. Douglas L. Beck","startTime":609.65,"endTime":613.4,"body":"better. But that's not the end"},{"speaker":"Dr. Douglas L. Beck","startTime":609.65,"endTime":613.4,"body":"game, the end game is making"},{"speaker":"Dr. Douglas L. Beck","startTime":613.4,"endTime":617.42,"body":"sense out of what you hear the"},{"speaker":"Dr. Douglas L. Beck","startTime":613.4,"endTime":617.42,"body":"end game is listening. And very"},{"speaker":"Dr. Douglas L. Beck","startTime":617.42,"endTime":621.14,"body":"few hearing aids can maintain"},{"speaker":"Dr. Douglas L. Beck","startTime":617.42,"endTime":621.14,"body":"those inter-aural loudness and"},{"speaker":"Dr. Douglas L. Beck","startTime":621.17,"endTime":624.8,"body":"inter-aural timing differences."},{"speaker":"Dr. Douglas L. Beck","startTime":621.17,"endTime":624.8,"body":"So when I say inter-aural I"},{"speaker":"Dr. Douglas L. Beck","startTime":624.8,"endTime":627.5,"body":"mean, between the ears, the"},{"speaker":"Dr. Douglas L. Beck","startTime":624.8,"endTime":627.5,"body":"differences between the left and"},{"speaker":"Dr. Douglas L. Beck","startTime":627.5,"endTime":630.32,"body":"right ear. That's how people"},{"speaker":"Dr. Douglas L. Beck","startTime":627.5,"endTime":630.32,"body":"with normal hearing and normal"},{"speaker":"Dr. Douglas L. Beck","startTime":630.32,"endTime":633.65,"body":"brains can understand speech and"},{"speaker":"Dr. Douglas L. Beck","startTime":630.32,"endTime":633.65,"body":"noise. And that's the problem"},{"speaker":"Dr. Douglas L. Beck","startTime":633.65,"endTime":636.38,"body":"that so many people with hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":633.65,"endTime":636.38,"body":"loss have is that they're"},{"speaker":"Dr. Douglas L. Beck","startTime":636.95,"endTime":640.28,"body":"hearing aids, they generally get"},{"speaker":"Dr. Douglas L. Beck","startTime":636.95,"endTime":640.28,"body":"are making things louder, and"},{"speaker":"Dr. Douglas L. Beck","startTime":640.28,"endTime":643.49,"body":"they can perceive them. But they"},{"speaker":"Dr. Douglas L. Beck","startTime":640.28,"endTime":643.49,"body":"don't appear to be much clearer,"},{"speaker":"Dr. Douglas L. Beck","startTime":643.7,"endTime":647.6,"body":"because we were not delivering"},{"speaker":"Dr. Douglas L. Beck","startTime":643.7,"endTime":647.6,"body":"the cues that the brain needs to"},{"speaker":"Dr. Douglas L. Beck","startTime":647.6,"endTime":651.11,"body":"make sense, the sounds around"},{"speaker":"Dr. Douglas L. Beck","startTime":647.6,"endTime":651.11,"body":"you so that oticon we call that"},{"speaker":"Dr. Douglas L. Beck","startTime":651.11,"endTime":654.41,"body":"brain hearing is supplying the"},{"speaker":"Dr. Douglas L. Beck","startTime":651.11,"endTime":654.41,"body":"brain with all of the acoustic"},{"speaker":"Dr. Douglas L. Beck","startTime":654.41,"endTime":659.87,"body":"information it needs to make"},{"speaker":"Dr. Douglas L. Beck","startTime":654.41,"endTime":659.87,"body":"sense out of the sounds in"},{"speaker":"Dr. Douglas L. Beck","startTime":659.9,"endTime":662.3,"body":"natural space, so that you get"},{"speaker":"Dr. Douglas L. Beck","startTime":659.9,"endTime":662.3,"body":"three dimensional hearing."},{"speaker":"Blaise Delfino","startTime":704.62,"endTime":708.43,"body":"Wow, Doug, that"},{"speaker":"Blaise Delfino","startTime":704.62,"endTime":708.43,"body":"that is literally, I have to"},{"speaker":"Blaise Delfino","startTime":708.43,"endTime":712.63,"body":"say, I am so excited because"},{"speaker":"Blaise Delfino","startTime":708.43,"endTime":712.63,"body":"number one between your"},{"speaker":"Blaise Delfino","startTime":712.63,"endTime":715.63,"body":"knowledge and your experience,"},{"speaker":"Blaise Delfino","startTime":712.63,"endTime":715.63,"body":"and Dr. Delfino's knowledge and"},{"speaker":"Blaise Delfino","startTime":715.63,"endTime":719.05,"body":"his experience, right now, I"},{"speaker":"Blaise Delfino","startTime":715.63,"endTime":719.05,"body":"feel like I'm on the call of a"},{"speaker":"Blaise Delfino","startTime":719.05,"endTime":723.07,"body":"lifetime. It's been, you know,"},{"speaker":"Blaise Delfino","startTime":719.05,"endTime":723.07,"body":"over 65 years of combined"},{"speaker":"Blaise Delfino","startTime":723.07,"endTime":725.68,"body":"experience. I mean, that is"},{"speaker":"Blaise Delfino","startTime":723.07,"endTime":725.68,"body":"incredible. And, Doug, when you"},{"speaker":"Blaise Delfino","startTime":725.68,"endTime":730.27,"body":"talk about that top down, bottom"},{"speaker":"Blaise Delfino","startTime":725.68,"endTime":730.27,"body":"up approach, and understanding"},{"speaker":"Blaise Delfino","startTime":730.27,"endTime":734.8,"body":"that everyone sort of processes"},{"speaker":"Blaise Delfino","startTime":730.27,"endTime":734.8,"body":"sounds and their sensory"},{"speaker":"Blaise Delfino","startTime":734.8,"endTime":738.28,"body":"information differently. And"},{"speaker":"Blaise Delfino","startTime":734.8,"endTime":738.28,"body":"then when you talk about noise,"},{"speaker":"Blaise Delfino","startTime":738.4,"endTime":741.7,"body":"Doug, so noise, of course, the"},{"speaker":"Blaise Delfino","startTime":738.4,"endTime":741.7,"body":"presence of sound without"},{"speaker":"Blaise Delfino","startTime":741.7,"endTime":747.46,"body":"meaning, if we increase our"},{"speaker":"Blaise Delfino","startTime":741.7,"endTime":747.46,"body":"patient's hearing world, right,"},{"speaker":"Blaise Delfino","startTime":747.46,"endTime":751.54,"body":"and we just make everything"},{"speaker":"Blaise Delfino","startTime":747.46,"endTime":751.54,"body":"louder. Most often patients will"},{"speaker":"Blaise Delfino","startTime":751.54,"endTime":755.5600000000001,"body":"reject that amplification. And"},{"speaker":"Blaise Delfino","startTime":751.54,"endTime":755.5600000000001,"body":"of course, with the abbreviated"},{"speaker":"Blaise Delfino","startTime":755.5600000000001,"endTime":758.44,"body":"profile of hearing a benefit, we"},{"speaker":"Blaise Delfino","startTime":755.5600000000001,"endTime":758.44,"body":"have that sub scale that talks"},{"speaker":"Blaise Delfino","startTime":758.44,"endTime":761.95,"body":"about aversive ness. Okay, and I"},{"speaker":"Blaise Delfino","startTime":758.44,"endTime":761.95,"body":"want to make the connection here"},{"speaker":"Blaise Delfino","startTime":762.19,"endTime":765.73,"body":"with pragmatics. Okay, because I"},{"speaker":"Blaise Delfino","startTime":762.19,"endTime":765.73,"body":"thought this was so interesting"},{"speaker":"Blaise Delfino","startTime":765.76,"endTime":770.08,"body":"in one of the articles that you"},{"speaker":"Blaise Delfino","startTime":765.76,"endTime":770.08,"body":"were co author on his"},{"speaker":"Blaise Delfino","startTime":770.08,"endTime":774.16,"body":"pragmatics, which is the social"},{"speaker":"Blaise Delfino","startTime":770.08,"endTime":774.16,"body":"use of language. Now, what I"},{"speaker":"Blaise Delfino","startTime":774.16,"endTime":776.89,"body":"found incredible and what Dr."},{"speaker":"Blaise Delfino","startTime":774.16,"endTime":776.89,"body":"Delfino and I thought was"},{"speaker":"Blaise Delfino","startTime":776.89,"endTime":781.8100000000001,"body":"amazing is that the parallel"},{"speaker":"Blaise Delfino","startTime":776.89,"endTime":781.8100000000001,"body":"between pragmatics and hearing"},{"speaker":"Blaise Delfino","startTime":781.84,"endTime":784.87,"body":"aid outcomes. Now, of course,"},{"speaker":"Blaise Delfino","startTime":781.84,"endTime":784.87,"body":"this all ties into that"},{"speaker":"Blaise Delfino","startTime":784.87,"endTime":789.25,"body":"cognition, audition and"},{"speaker":"Blaise Delfino","startTime":784.87,"endTime":789.25,"body":"amplification. Can you expand on"},{"speaker":"Blaise Delfino","startTime":789.25,"endTime":792.52,"body":"that with the pragmatics and"},{"speaker":"Blaise Delfino","startTime":789.25,"endTime":792.52,"body":"hearing aid outcomes that"},{"speaker":"Blaise Delfino","startTime":792.52,"endTime":796.45,"body":"individuals will actually have"},{"speaker":"Blaise Delfino","startTime":792.52,"endTime":796.45,"body":"more appropriate pragmatics with"},{"speaker":"Blaise Delfino","startTime":796.48,"endTime":798.16,"body":"a successful hearing aid"},{"speaker":"Blaise Delfino","startTime":796.48,"endTime":798.16,"body":"fitting?"},{"speaker":"Dr. Douglas L. Beck","startTime":798.12,"endTime":800.3100000000001,"body":"Yeah, you"},{"speaker":"Dr. Douglas L. Beck","startTime":798.12,"endTime":800.3100000000001,"body":"said that really well. And I"},{"speaker":"Dr. Douglas L. Beck","startTime":800.3100000000001,"endTime":803.7,"body":"don't think I could say it any"},{"speaker":"Dr. Douglas L. Beck","startTime":800.3100000000001,"endTime":803.7,"body":"better. The issue here is it"},{"speaker":"Dr. Douglas L. Beck","startTime":803.7,"endTime":807.72,"body":"when hearing aids make sounds"},{"speaker":"Dr. Douglas L. Beck","startTime":803.7,"endTime":807.72,"body":"louder, and they don't do it"},{"speaker":"Dr. Douglas L. Beck","startTime":807.72,"endTime":811.35,"body":"selectively. They make all"},{"speaker":"Dr. Douglas L. Beck","startTime":807.72,"endTime":811.35,"body":"sounds louder in general. And"},{"speaker":"Dr. Douglas L. Beck","startTime":811.35,"endTime":814.53,"body":"when that happens, the"},{"speaker":"Dr. Douglas L. Beck","startTime":811.35,"endTime":814.53,"body":"background noise gets louder,"},{"speaker":"Dr. Douglas L. Beck","startTime":814.53,"endTime":817.68,"body":"too. So there's a concept that's"},{"speaker":"Dr. Douglas L. Beck","startTime":814.53,"endTime":817.68,"body":"so important to understand,"},{"speaker":"Dr. Douglas L. Beck","startTime":817.68,"endTime":820.71,"body":"which is signal to noise ratio."},{"speaker":"Dr. Douglas L. Beck","startTime":817.68,"endTime":820.71,"body":"And I know for some of the"},{"speaker":"Dr. Douglas L. Beck","startTime":820.71,"endTime":823.8,"body":"listeners, that's a tough one,"},{"speaker":"Dr. Douglas L. Beck","startTime":820.71,"endTime":823.8,"body":"but a signal to noise ratio, it"},{"speaker":"Dr. Douglas L. Beck","startTime":823.8,"endTime":827.55,"body":"exists in virtually all areas of"},{"speaker":"Dr. Douglas L. Beck","startTime":823.8,"endTime":827.55,"body":"physics, and in sound in"},{"speaker":"Dr. Douglas L. Beck","startTime":827.55,"endTime":831.21,"body":"particular. So what happens with"},{"speaker":"Dr. Douglas L. Beck","startTime":827.55,"endTime":831.21,"body":"sound? Supposing that we're at a"},{"speaker":"Dr. Douglas L. Beck","startTime":831.21,"endTime":834.09,"body":"restaurant and we measure the"},{"speaker":"Dr. Douglas L. Beck","startTime":831.21,"endTime":834.09,"body":"background sound, let's suppose"},{"speaker":"Dr. Douglas L. Beck","startTime":834.09,"endTime":838.26,"body":"it's 60. And it could be 60."},{"speaker":"Dr. Douglas L. Beck","startTime":834.09,"endTime":838.26,"body":"Anything, let's use decibels. So"},{"speaker":"Dr. Douglas L. Beck","startTime":838.26,"endTime":841.8,"body":"it's 60 decibels. Okay? So that"},{"speaker":"Dr. Douglas L. Beck","startTime":838.26,"endTime":841.8,"body":"might be conversational speech,"},{"speaker":"Dr. Douglas L. Beck","startTime":841.8,"endTime":844.26,"body":"loudness, well, then if Dr."},{"speaker":"Dr. Douglas L. Beck","startTime":841.8,"endTime":844.26,"body":"Delfino and I are having a"},{"speaker":"Dr. Douglas L. Beck","startTime":844.26,"endTime":847.23,"body":"conversation at a table in that"},{"speaker":"Dr. Douglas L. Beck","startTime":844.26,"endTime":847.23,"body":"restaurant, and he and I are"},{"speaker":"Dr. Douglas L. Beck","startTime":847.23,"endTime":850.44,"body":"just 24 inches from each other,"},{"speaker":"Dr. Douglas L. Beck","startTime":847.23,"endTime":850.44,"body":"not socially distanced, but But"},{"speaker":"Dr. Douglas L. Beck","startTime":850.47,"endTime":853.35,"body":"truly, you know, in a regular"},{"speaker":"Dr. Douglas L. Beck","startTime":850.47,"endTime":853.35,"body":"conversation, but both of us are"},{"speaker":"Dr. Douglas L. Beck","startTime":853.38,"endTime":858.99,"body":"wearing masks, so it's okay. So"},{"speaker":"Dr. Douglas L. Beck","startTime":853.38,"endTime":858.99,"body":"we might be at 75 decibels. So"},{"speaker":"Dr. Douglas L. Beck","startTime":859.02,"endTime":862.65,"body":"our conversation is quite a bit"},{"speaker":"Dr. Douglas L. Beck","startTime":859.02,"endTime":862.65,"body":"louder to 15 decibels louder"},{"speaker":"Dr. Douglas L. Beck","startTime":862.65,"endTime":865.92,"body":"than the background noise. Okay,"},{"speaker":"Dr. Douglas L. Beck","startTime":862.65,"endTime":865.92,"body":"so that's signal to noise ratio,"},{"speaker":"Dr. Douglas L. Beck","startTime":865.92,"endTime":870.66,"body":"he and I are speaking at 75, the"},{"speaker":"Dr. Douglas L. Beck","startTime":865.92,"endTime":870.66,"body":"background noise is at 60. Now,"},{"speaker":"Dr. Douglas L. Beck","startTime":870.66,"endTime":873.99,"body":"that gives us a 15 decibels"},{"speaker":"Dr. Douglas L. Beck","startTime":870.66,"endTime":873.99,"body":"signal to noise ratio. So that"},{"speaker":"Dr. Douglas L. Beck","startTime":873.99,"endTime":877.44,"body":"makes it easy to understand"},{"speaker":"Dr. Douglas L. Beck","startTime":873.99,"endTime":877.44,"body":"because people need, you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":877.44,"endTime":880.41,"body":"to understand conversational"},{"speaker":"Dr. Douglas L. Beck","startTime":877.44,"endTime":880.41,"body":"speech, it gets comfortable"},{"speaker":"Dr. Douglas L. Beck","startTime":880.41,"endTime":883.5,"body":"about eight or 10 signal to"},{"speaker":"Dr. Douglas L. Beck","startTime":880.41,"endTime":883.5,"body":"noise ratio, eight or 10"},{"speaker":"Dr. Douglas L. Beck","startTime":883.5,"endTime":887.1,"body":"decibels. And more than that is"},{"speaker":"Dr. Douglas L. Beck","startTime":883.5,"endTime":887.1,"body":"better. But when the hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":887.1,"endTime":890.94,"body":"aids can't tell who you want to"},{"speaker":"Dr. Douglas L. Beck","startTime":887.1,"endTime":890.94,"body":"pay attention to, the signal and"},{"speaker":"Dr. Douglas L. Beck","startTime":890.94,"endTime":893.37,"body":"the noise become the same,"},{"speaker":"Dr. Douglas L. Beck","startTime":890.94,"endTime":893.37,"body":"because it's not"},{"speaker":"Dr. Douglas L. Beck","startTime":893.37,"endTime":896.64,"body":"differentiating. So what we're"},{"speaker":"Dr. Douglas L. Beck","startTime":893.37,"endTime":896.64,"body":"looking for an advanced signal"},{"speaker":"Dr. Douglas L. Beck","startTime":896.64,"endTime":902.49,"body":"processing is the ability to"},{"speaker":"Dr. Douglas L. Beck","startTime":896.64,"endTime":902.49,"body":"what we call it as multi speaker"},{"speaker":"Dr. Douglas L. Beck","startTime":902.76,"endTime":908.28,"body":"access technology MSAT. And what"},{"speaker":"Dr. Douglas L. Beck","startTime":902.76,"endTime":908.28,"body":"that enables you to do is to"},{"speaker":"Dr. Douglas L. Beck","startTime":908.28,"endTime":911.85,"body":"selectively attend to the person"},{"speaker":"Dr. Douglas L. Beck","startTime":908.28,"endTime":911.85,"body":"you want to listen to where"},{"speaker":"Dr. Douglas L. Beck","startTime":911.85,"endTime":915.0600000000001,"body":"depending on the brain to make"},{"speaker":"Dr. Douglas L. Beck","startTime":911.85,"endTime":915.0600000000001,"body":"sense of it if we give it the"},{"speaker":"Dr. Douglas L. Beck","startTime":915.0600000000001,"endTime":918.12,"body":"right information. And there's"},{"speaker":"Dr. Douglas L. Beck","startTime":915.0600000000001,"endTime":918.12,"body":"there's two or three studies"},{"speaker":"Dr. Douglas L. Beck","startTime":918.27,"endTime":920.34,"body":"already in the peer reviewed"},{"speaker":"Dr. Douglas L. Beck","startTime":918.27,"endTime":920.34,"body":"literature that are quite"},{"speaker":"Dr. Douglas L. Beck","startTime":920.34,"endTime":924.03,"body":"fascinating on this one shows"},{"speaker":"Dr. Douglas L. Beck","startTime":920.34,"endTime":924.03,"body":"that when you get multi speaker"},{"speaker":"Dr. Douglas L. Beck","startTime":924.03,"endTime":927.39,"body":"access technology and you're"},{"speaker":"Dr. Douglas L. Beck","startTime":924.03,"endTime":927.39,"body":"able to selectively attend to"},{"speaker":"Dr. Douglas L. Beck","startTime":927.39,"endTime":931.11,"body":"the person you want to listen"},{"speaker":"Dr. Douglas L. Beck","startTime":927.39,"endTime":931.11,"body":"to, your listening effort goes"},{"speaker":"Dr. Douglas L. Beck","startTime":931.11,"endTime":935.01,"body":"down tremendously. And this is"},{"speaker":"Dr. Douglas L. Beck","startTime":931.11,"endTime":935.01,"body":"not. This is not a trivial"},{"speaker":"Dr. Douglas L. Beck","startTime":935.01,"endTime":938.61,"body":"issue. When it's easy to listen,"},{"speaker":"Dr. Douglas L. Beck","startTime":935.01,"endTime":938.61,"body":"it's more pleasant to listen and"},{"speaker":"Dr. Douglas L. Beck","startTime":938.61,"endTime":941.43,"body":"you engage in conversations that"},{"speaker":"Dr. Douglas L. Beck","startTime":938.61,"endTime":941.43,"body":"otherwise you would shut way"},{"speaker":"Dr. Douglas L. Beck","startTime":941.43,"endTime":944.88,"body":"from because you can participate"},{"speaker":"Dr. Douglas L. Beck","startTime":941.43,"endTime":944.88,"body":"easily. And there are studies"},{"speaker":"Dr. Douglas L. Beck","startTime":944.88,"endTime":948.99,"body":"that have looked at this. And"},{"speaker":"Dr. Douglas L. Beck","startTime":944.88,"endTime":948.99,"body":"you could find, well, I won't go"},{"speaker":"Dr. Douglas L. Beck","startTime":948.99,"endTime":953.79,"body":"into the studies, but but send"},{"speaker":"Dr. Douglas L. Beck","startTime":948.99,"endTime":953.79,"body":"Blaise an email. And if he, he"},{"speaker":"Dr. Douglas L. Beck","startTime":953.79,"endTime":956.16,"body":"can, he can ask me and I'll send"},{"speaker":"Dr. Douglas L. Beck","startTime":953.79,"endTime":956.16,"body":"him the study that he can"},{"speaker":"Dr. Douglas L. Beck","startTime":956.16,"endTime":959.82,"body":"dispense it. But we know that"},{"speaker":"Dr. Douglas L. Beck","startTime":956.16,"endTime":959.82,"body":"listening effort is quite a bit"},{"speaker":"Dr. Douglas L. Beck","startTime":959.82,"endTime":965.07,"body":"less when we use multi speaker"},{"speaker":"Dr. Douglas L. Beck","startTime":959.82,"endTime":965.07,"body":"access technology. And this is"},{"speaker":"Dr. Douglas L. Beck","startTime":965.07,"endTime":970.32,"body":"not a brand new finding, by the"},{"speaker":"Dr. Douglas L. Beck","startTime":965.07,"endTime":970.32,"body":"way, in 1964, is the first time"},{"speaker":"Dr. Douglas L. Beck","startTime":970.47,"endTime":974.25,"body":"that anybody showed listening"},{"speaker":"Dr. Douglas L. Beck","startTime":970.47,"endTime":974.25,"body":"effort improvements based on"},{"speaker":"Dr. Douglas L. Beck","startTime":974.25,"endTime":977.1,"body":"pupilometry. And again, it's"},{"speaker":"Dr. Douglas L. Beck","startTime":974.25,"endTime":977.1,"body":"kind of weird science. But it"},{"speaker":"Dr. Douglas L. Beck","startTime":977.1,"endTime":980.7,"body":"was pushed forward by this guy,"},{"speaker":"Dr. Douglas L. Beck","startTime":977.1,"endTime":980.7,"body":"Daniel Kahneman, who won the"},{"speaker":"Dr. Douglas L. Beck","startTime":980.7,"endTime":984.18,"body":"Nobel Prize in Economics, which"},{"speaker":"Dr. Douglas L. Beck","startTime":980.7,"endTime":984.18,"body":"is even more astounding, because"},{"speaker":"Dr. Douglas L. Beck","startTime":984.18,"endTime":987.39,"body":"he happens to be a psychologist,"},{"speaker":"Dr. Douglas L. Beck","startTime":984.18,"endTime":987.39,"body":"you know, so a psychologist"},{"speaker":"Dr. Douglas L. Beck","startTime":987.39,"endTime":990.27,"body":"winning a Nobel Prize in"},{"speaker":"Dr. Douglas L. Beck","startTime":987.39,"endTime":990.27,"body":"Economics. He's a pretty bright"},{"speaker":"Dr. Douglas L. Beck","startTime":990.27,"endTime":994.77,"body":"guy, obviously. And in 64, he"},{"speaker":"Dr. Douglas L. Beck","startTime":990.27,"endTime":994.77,"body":"started writing about how you"},{"speaker":"Dr. Douglas L. Beck","startTime":994.77,"endTime":998.7,"body":"could measure somebody's"},{"speaker":"Dr. Douglas L. Beck","startTime":994.77,"endTime":998.7,"body":"effortful thinking, effortful"},{"speaker":"Dr. Douglas L. Beck","startTime":998.73,"endTime":1002.51,"body":"thinking, by measuring how wide"},{"speaker":"Dr. Douglas L. Beck","startTime":998.73,"endTime":1002.51,"body":"their pupil was, anyway, it's a"},{"speaker":"Dr. Douglas L. Beck","startTime":1002.51,"endTime":1007.19,"body":"very long story. But we applied"},{"speaker":"Dr. Douglas L. Beck","startTime":1002.51,"endTime":1007.19,"body":"that in our labs in Denmark, to"},{"speaker":"Dr. Douglas L. Beck","startTime":1007.28,"endTime":1012.26,"body":"what happens when people listen"},{"speaker":"Dr. Douglas L. Beck","startTime":1007.28,"endTime":1012.26,"body":"to speech and noise in difficult"},{"speaker":"Dr. Douglas L. Beck","startTime":1012.26,"endTime":1015.29,"body":"situations with different"},{"speaker":"Dr. Douglas L. Beck","startTime":1012.26,"endTime":1015.29,"body":"hearing aids. And we found that"},{"speaker":"Dr. Douglas L. Beck","startTime":1015.29,"endTime":1019.16,"body":"the listening effort was most"},{"speaker":"Dr. Douglas L. Beck","startTime":1015.29,"endTime":1019.16,"body":"decreased with advanced"},{"speaker":"Dr. Douglas L. Beck","startTime":1019.19,"endTime":1023.15,"body":"technology like multi speaker"},{"speaker":"Dr. Douglas L. Beck","startTime":1019.19,"endTime":1023.15,"body":"access technology. And that came"},{"speaker":"Dr. Douglas L. Beck","startTime":1023.15,"endTime":1025.97,"body":"out of a paper that was in"},{"speaker":"Dr. Douglas L. Beck","startTime":1023.15,"endTime":1025.97,"body":"Amsterdam. So that was available"},{"speaker":"Dr. Douglas L. Beck","startTime":1025.97,"endTime":1028.1299999999999,"body":"if you want to see a copy of it."},{"speaker":"Dr. Douglas L. Beck","startTime":1025.97,"endTime":1028.1299999999999,"body":"Another thing that's so"},{"speaker":"Dr. Douglas L. Beck","startTime":1028.1299999999999,"endTime":1029.84,"body":"important, remember, we're"},{"speaker":"Dr. Douglas L. Beck","startTime":1028.1299999999999,"endTime":1029.84,"body":"talking about selective"},{"speaker":"Dr. Douglas L. Beck","startTime":1029.84,"endTime":1033.86,"body":"attention. So Dr. Delfino and I"},{"speaker":"Dr. Douglas L. Beck","startTime":1029.84,"endTime":1033.86,"body":"are at that restaurant where I"},{"speaker":"Dr. Douglas L. Beck","startTime":1033.86,"endTime":1036.3799999999999,"body":"tried to have a conversation,"},{"speaker":"Dr. Douglas L. Beck","startTime":1033.86,"endTime":1036.3799999999999,"body":"people are speaking all around"},{"speaker":"Dr. Douglas L. Beck","startTime":1036.3799999999999,"endTime":1040.82,"body":"us, it's noisy as all get out."},{"speaker":"Dr. Douglas L. Beck","startTime":1036.3799999999999,"endTime":1040.82,"body":"But because we both have pretty"},{"speaker":"Dr. Douglas L. Beck","startTime":1040.82,"endTime":1044.75,"body":"reasonably good brains, we can"},{"speaker":"Dr. Douglas L. Beck","startTime":1040.82,"endTime":1044.75,"body":"selectively attend to each"},{"speaker":"Dr. Douglas L. Beck","startTime":1044.75,"endTime":1047.27,"body":"other, which means we can"},{"speaker":"Dr. Douglas L. Beck","startTime":1044.75,"endTime":1047.27,"body":"determine where the sound is"},{"speaker":"Dr. Douglas L. Beck","startTime":1047.27,"endTime":1050.78,"body":"coming from and pay attention to"},{"speaker":"Dr. Douglas L. Beck","startTime":1047.27,"endTime":1050.78,"body":"it. Now, that's also been shown"},{"speaker":"Dr. Douglas L. Beck","startTime":1050.78,"endTime":1055.79,"body":"to be tremendously improved."},{"speaker":"Dr. Douglas L. Beck","startTime":1050.78,"endTime":1055.79,"body":"With EEG recordings, there are"},{"speaker":"Dr. Douglas L. Beck","startTime":1055.79,"endTime":1059.4199999999998,"body":"some recordings that we've done"},{"speaker":"Dr. Douglas L. Beck","startTime":1055.79,"endTime":1059.4199999999998,"body":"out of Denmark, where we take"},{"speaker":"Dr. Douglas L. Beck","startTime":1059.4199999999998,"endTime":1062.81,"body":"all sorts of different people,"},{"speaker":"Dr. Douglas L. Beck","startTime":1059.4199999999998,"endTime":1062.81,"body":"22 different people with hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":1062.81,"endTime":1066.86,"body":"loss, we check their EEG"},{"speaker":"Dr. Douglas L. Beck","startTime":1062.81,"endTime":1066.86,"body":"listening to a primary talker"},{"speaker":"Dr. Douglas L. Beck","startTime":1066.86,"endTime":1069.56,"body":"and the secondary torture, we've"},{"speaker":"Dr. Douglas L. Beck","startTime":1066.86,"endTime":1069.56,"body":"watched their brain activity."},{"speaker":"Dr. Douglas L. Beck","startTime":1069.9499999999998,"endTime":1073.04,"body":"And then when you put the same"},{"speaker":"Dr. Douglas L. Beck","startTime":1069.9499999999998,"endTime":1073.04,"body":"multi speaker access technology"},{"speaker":"Dr. Douglas L. Beck","startTime":1073.07,"endTime":1077.1499999999999,"body":"on their ears, they're better"},{"speaker":"Dr. Douglas L. Beck","startTime":1073.07,"endTime":1077.1499999999999,"body":"able to attend to the secondary"},{"speaker":"Dr. Douglas L. Beck","startTime":1077.1499999999999,"endTime":1080.75,"body":"and the primary speaker and more"},{"speaker":"Dr. Douglas L. Beck","startTime":1077.1499999999999,"endTime":1080.75,"body":"importantly, the noise that"},{"speaker":"Dr. Douglas L. Beck","startTime":1080.75,"endTime":1083.9599999999998,"body":"their brain is tracking"},{"speaker":"Dr. Douglas L. Beck","startTime":1080.75,"endTime":1083.9599999999998,"body":"decreases by 50%. Because it's"},{"speaker":"Dr. Douglas L. Beck","startTime":1083.9599999999998,"endTime":1087.8,"body":"very effective noise reduction."},{"speaker":"Dr. Douglas L. Beck","startTime":1083.9599999999998,"endTime":1087.8,"body":"So these are great questions."},{"speaker":"Dr. Douglas L. Beck","startTime":1087.8,"endTime":1090.35,"body":"And I know we don't have very"},{"speaker":"Dr. Douglas L. Beck","startTime":1087.8,"endTime":1090.35,"body":"much time, but each one of these"},{"speaker":"Dr. Douglas L. Beck","startTime":1090.35,"endTime":1093.6499999999999,"body":"is worth a three hour answer. So"},{"speaker":"Dr. Douglas L. Beck","startTime":1090.35,"endTime":1093.6499999999999,"body":"I, I'll try to stop there. But"},{"speaker":"Dr. Douglas L. Beck","startTime":1093.9799999999998,"endTime":1096.56,"body":"but I do think these are great"},{"speaker":"Dr. Douglas L. Beck","startTime":1093.9799999999998,"endTime":1096.56,"body":"questions. very insightful."},{"speaker":"Blaise Delfino","startTime":1096.87,"endTime":1098.55,"body":"We'll have to"},{"speaker":"Blaise Delfino","startTime":1096.87,"endTime":1098.55,"body":"dovetail off all of this"},{"speaker":"Blaise Delfino","startTime":1098.55,"endTime":1102.33,"body":"information in future episodes."},{"speaker":"Blaise Delfino","startTime":1098.55,"endTime":1102.33,"body":"For sure. Listen, we, you're"},{"speaker":"Blaise Delfino","startTime":1102.33,"endTime":1106.05,"body":"you're a friend of, you know,"},{"speaker":"Blaise Delfino","startTime":1102.33,"endTime":1106.05,"body":"hearing matters. And we love"},{"speaker":"Blaise Delfino","startTime":1106.05,"endTime":1108.75,"body":"having you on and we love"},{"speaker":"Blaise Delfino","startTime":1106.05,"endTime":1108.75,"body":"sharing you. You know, we love"},{"speaker":"Blaise Delfino","startTime":1108.75,"endTime":1111.0,"body":"the fact that you're sharing"},{"speaker":"Blaise Delfino","startTime":1108.75,"endTime":1111.0,"body":"your wealth of knowledge, not"},{"speaker":"Blaise Delfino","startTime":1111.0,"endTime":1114.4499999999998,"body":"only with our listeners, but"},{"speaker":"Blaise Delfino","startTime":1111.0,"endTime":1114.4499999999998,"body":"even future clinicians listening"},{"speaker":"Blaise Delfino","startTime":1114.4499999999998,"endTime":1118.1999999999998,"body":"to this episode. Doug, you"},{"speaker":"Blaise Delfino","startTime":1114.4499999999998,"endTime":1118.1999999999998,"body":"touched upon, of course,"},{"speaker":"Blaise Delfino","startTime":1118.3799999999999,"endTime":1122.07,"body":"decreasing listening effort and"},{"speaker":"Blaise Delfino","startTime":1118.3799999999999,"endTime":1122.07,"body":"increasing speech understanding"},{"speaker":"Blaise Delfino","startTime":1122.07,"endTime":1127.1999999999998,"body":"now, Dr. Delfino, we have fit"},{"speaker":"Blaise Delfino","startTime":1122.07,"endTime":1127.1999999999998,"body":"patients at audiology services"},{"speaker":"Blaise Delfino","startTime":1127.35,"endTime":1130.26,"body":"with different levels of"},{"speaker":"Blaise Delfino","startTime":1127.35,"endTime":1130.26,"body":"technology. And we're currently"},{"speaker":"Blaise Delfino","startTime":1130.26,"endTime":1133.62,"body":"conducting our own in house"},{"speaker":"Blaise Delfino","startTime":1130.26,"endTime":1133.62,"body":"research study. And it's"},{"speaker":"Blaise Delfino","startTime":1133.62,"endTime":1135.9599999999998,"body":"actually concluded and we're"},{"speaker":"Blaise Delfino","startTime":1133.62,"endTime":1135.9599999999998,"body":"sharing those findings with"},{"speaker":"Blaise Delfino","startTime":1135.9599999999998,"endTime":1139.83,"body":"Doug. So we're so excited about"},{"speaker":"Blaise Delfino","startTime":1135.9599999999998,"endTime":1139.83,"body":"that. But what have you found"},{"speaker":"Blaise Delfino","startTime":1140.3999999999999,"endTime":1146.1899999999998,"body":"with fitting our patients with"},{"speaker":"Blaise Delfino","startTime":1140.3999999999999,"endTime":1146.1899999999998,"body":"the Opn S platform? And how are"},{"speaker":"Blaise Delfino","startTime":1146.1899999999998,"endTime":1149.85,"body":"they performing in those noisy"},{"speaker":"Blaise Delfino","startTime":1146.1899999999998,"endTime":1149.85,"body":"situations? Because again, what"},{"speaker":"Blaise Delfino","startTime":1149.85,"endTime":1153.9599999999998,"body":"we're doing is we are fitting"},{"speaker":"Blaise Delfino","startTime":1149.85,"endTime":1153.9599999999998,"body":"our patients with this specific"},{"speaker":"Blaise Delfino","startTime":1153.9599999999998,"endTime":1158.2199999999998,"body":"platform ship, released by"},{"speaker":"Blaise Delfino","startTime":1153.9599999999998,"endTime":1158.2199999999998,"body":"oticon, the Velox S platform,"},{"speaker":"Blaise Delfino","startTime":1158.34,"endTime":1161.34,"body":"and we are seeing a decrease in"},{"speaker":"Blaise Delfino","startTime":1158.34,"endTime":1161.34,"body":"listening effort and increase in"},{"speaker":"Blaise Delfino","startTime":1161.34,"endTime":1164.1599999999999,"body":"speech understanding Dr. Delfino"},{"speaker":"Blaise Delfino","startTime":1161.34,"endTime":1164.1599999999999,"body":"What, what have some of your"},{"speaker":"Blaise Delfino","startTime":1164.1599999999999,"endTime":1166.08,"body":"findings? And what are some of"},{"speaker":"Blaise Delfino","startTime":1164.1599999999999,"endTime":1166.08,"body":"your thoughts on that?"},{"speaker":"Dr. Gregory Delfino","startTime":1166.53,"endTime":1168.57,"body":"What we've"},{"speaker":"Dr. Gregory Delfino","startTime":1166.53,"endTime":1168.57,"body":"done is really look well beyond"},{"speaker":"Dr. Gregory Delfino","startTime":1168.57,"endTime":1172.6499999999999,"body":"the audiogram that we use that"},{"speaker":"Dr. Gregory Delfino","startTime":1168.57,"endTime":1172.6499999999999,"body":"obviously is as a base, but I"},{"speaker":"Dr. Gregory Delfino","startTime":1172.6499999999999,"endTime":1176.3999999999999,"body":"think the speech testing that we"},{"speaker":"Dr. Gregory Delfino","startTime":1172.6499999999999,"endTime":1176.3999999999999,"body":"do speech and noise speech in"},{"speaker":"Dr. Gregory Delfino","startTime":1176.3999999999999,"endTime":1180.9599999999998,"body":"quiet, I do some additional"},{"speaker":"Dr. Gregory Delfino","startTime":1176.3999999999999,"endTime":1180.9599999999998,"body":"testing for auditory processing"},{"speaker":"Dr. Gregory Delfino","startTime":1180.9599999999998,"endTime":1185.1299999999999,"body":"as well, some dichotic digits,"},{"speaker":"Dr. Gregory Delfino","startTime":1180.9599999999998,"endTime":1185.1299999999999,"body":"and some gap detection. And"},{"speaker":"Dr. Gregory Delfino","startTime":1185.1299999999999,"endTime":1189.0,"body":"again, it's all in preparation"},{"speaker":"Dr. Gregory Delfino","startTime":1185.1299999999999,"endTime":1189.0,"body":"for the moment when we sit down"},{"speaker":"Dr. Gregory Delfino","startTime":1189.0,"endTime":1192.09,"body":"and discuss what is best for our"},{"speaker":"Dr. Gregory Delfino","startTime":1189.0,"endTime":1192.09,"body":"patients. It gives us the tools"},{"speaker":"Dr. Gregory Delfino","startTime":1192.09,"endTime":1195.0,"body":"that we need to make the kinds"},{"speaker":"Dr. Gregory Delfino","startTime":1192.09,"endTime":1195.0,"body":"of recommendations for"},{"speaker":"Dr. Gregory Delfino","startTime":1195.0,"endTime":1198.09,"body":"rehabilitation that are going to"},{"speaker":"Dr. Gregory Delfino","startTime":1195.0,"endTime":1198.09,"body":"work because our patients come"},{"speaker":"Dr. Gregory Delfino","startTime":1198.09,"endTime":1202.6799999999998,"body":"to us as many do to other other"},{"speaker":"Dr. Gregory Delfino","startTime":1198.09,"endTime":1202.6799999999998,"body":"clinics. And their concern is I"},{"speaker":"Dr. Gregory Delfino","startTime":1202.6799999999998,"endTime":1205.56,"body":"not only have trouble hearing, I"},{"speaker":"Dr. Gregory Delfino","startTime":1202.6799999999998,"endTime":1205.56,"body":"have trouble understanding. And"},{"speaker":"Dr. Gregory Delfino","startTime":1205.56,"endTime":1208.29,"body":"that's really why I'm here. And"},{"speaker":"Dr. Gregory Delfino","startTime":1205.56,"endTime":1208.29,"body":"that's what I want to do. And"},{"speaker":"Dr. Gregory Delfino","startTime":1208.29,"endTime":1212.31,"body":"what I have found is when we"},{"speaker":"Dr. Gregory Delfino","startTime":1208.29,"endTime":1212.31,"body":"input all the clinical data that"},{"speaker":"Dr. Gregory Delfino","startTime":1212.31,"endTime":1216.12,"body":"we have along with real ear"},{"speaker":"Dr. Gregory Delfino","startTime":1212.31,"endTime":1216.12,"body":"measure, we get such an"},{"speaker":"Dr. Gregory Delfino","startTime":1216.1499999999999,"endTime":1219.1499999999999,"body":"excellent picture of what's"},{"speaker":"Dr. Gregory Delfino","startTime":1216.1499999999999,"endTime":1219.1499999999999,"body":"going on in their ear. And you"},{"speaker":"Dr. Gregory Delfino","startTime":1219.1499999999999,"endTime":1223.8,"body":"can see the excitement in the"},{"speaker":"Dr. Gregory Delfino","startTime":1219.1499999999999,"endTime":1223.8,"body":"patient's faces as many of them"},{"speaker":"Dr. Gregory Delfino","startTime":1223.8,"endTime":1226.59,"body":"for the first time. They're"},{"speaker":"Dr. Gregory Delfino","startTime":1223.8,"endTime":1226.59,"body":"hearing like they did many, many"},{"speaker":"Dr. Gregory Delfino","startTime":1226.59,"endTime":1230.1599999999999,"body":"years ago. So it's incredibly"},{"speaker":"Dr. Gregory Delfino","startTime":1226.59,"endTime":1230.1599999999999,"body":"rewarding. And I love the way in"},{"speaker":"Dr. Gregory Delfino","startTime":1230.1599999999999,"endTime":1233.7299999999998,"body":"which this oticon instrument is"},{"speaker":"Dr. Gregory Delfino","startTime":1230.1599999999999,"endTime":1233.7299999999998,"body":"working it has made a huge"},{"speaker":"Dr. Gregory Delfino","startTime":1233.7299999999998,"endTime":1235.1999999999998,"body":"difference in so many people's"},{"speaker":"Dr. Gregory Delfino","startTime":1233.7299999999998,"endTime":1235.1999999999998,"body":"lives."},{"speaker":"Blaise Delfino","startTime":1235.2399999999998,"endTime":1238.4199999999998,"body":"Absolutely and"},{"speaker":"Blaise Delfino","startTime":1235.2399999999998,"endTime":1238.4199999999998,"body":"and Doug they're essentially not"},{"speaker":"Blaise Delfino","startTime":1238.4199999999998,"endTime":1240.85,"body":"only hearing but they're"},{"speaker":"Blaise Delfino","startTime":1238.4199999999998,"endTime":1240.85,"body":"listening and understanding"},{"speaker":"Blaise Delfino","startTime":1240.85,"endTime":1243.6699999999998,"body":"speech. on par with individuals"},{"speaker":"Blaise Delfino","startTime":1240.85,"endTime":1243.6699999999998,"body":"with normal hearing,"},{"speaker":"Dr. Douglas L. Beck","startTime":1243.6299999999999,"endTime":1246.06,"body":"is that"},{"speaker":"Dr. Douglas L. Beck","startTime":1243.6299999999999,"endTime":1246.06,"body":"correct? Yeah, that we we've"},{"speaker":"Dr. Douglas L. Beck","startTime":1246.06,"endTime":1248.9399999999998,"body":"seen that a couple of times"},{"speaker":"Dr. Douglas L. Beck","startTime":1246.06,"endTime":1248.9399999999998,"body":"over. And I think that the trend"},{"speaker":"Dr. Douglas L. Beck","startTime":1249.2399999999998,"endTime":1252.87,"body":"is that when you're wearing"},{"speaker":"Dr. Douglas L. Beck","startTime":1249.2399999999998,"endTime":1252.87,"body":"better noise reduction, when"},{"speaker":"Dr. Douglas L. Beck","startTime":1252.87,"endTime":1256.11,"body":"you're wearing products that"},{"speaker":"Dr. Douglas L. Beck","startTime":1252.87,"endTime":1256.11,"body":"allow your brain to have more"},{"speaker":"Dr. Douglas L. Beck","startTime":1256.11,"endTime":1260.1599999999999,"body":"information, you can start to"},{"speaker":"Dr. Douglas L. Beck","startTime":1256.11,"endTime":1260.1599999999999,"body":"approach better hearing in"},{"speaker":"Dr. Douglas L. Beck","startTime":1260.37,"endTime":1264.4199999999998,"body":"whether or not that's in"},{"speaker":"Dr. Douglas L. Beck","startTime":1260.37,"endTime":1264.4199999999998,"body":"alignment with normal it depends"},{"speaker":"Dr. Douglas L. Beck","startTime":1264.9299999999998,"endTime":1269.34,"body":"on who we're talking about. So"},{"speaker":"Dr. Douglas L. Beck","startTime":1264.9299999999998,"endTime":1269.34,"body":"it's not a black and white Yes,"},{"speaker":"Dr. Douglas L. Beck","startTime":1269.34,"endTime":1271.77,"body":"we can make you hear like normal"},{"speaker":"Dr. Douglas L. Beck","startTime":1269.34,"endTime":1271.77,"body":"that that would be a little too"},{"speaker":"Dr. Douglas L. Beck","startTime":1273.75,"endTime":1276.9299999999998,"body":"aggressive, a little aggressive,"},{"speaker":"Dr. Douglas L. Beck","startTime":1273.75,"endTime":1276.9299999999998,"body":"but what we could say is that"},{"speaker":"Dr. Douglas L. Beck","startTime":1276.9299999999998,"endTime":1280.5,"body":"many people, when they're"},{"speaker":"Dr. Douglas L. Beck","startTime":1276.9299999999998,"endTime":1280.5,"body":"wearing, well fitted hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":1280.5,"endTime":1284.9699999999998,"body":"aids, can do remarkably better."},{"speaker":"Dr. Douglas L. Beck","startTime":1280.5,"endTime":1284.9699999999998,"body":"Now, one of the things that Dr."},{"speaker":"Dr. Douglas L. Beck","startTime":1284.9699999999998,"endTime":1287.79,"body":"Delfino mentioned is this idea"},{"speaker":"Dr. Douglas L. Beck","startTime":1284.9699999999998,"endTime":1287.79,"body":"of real ear measures. And for"},{"speaker":"Dr. Douglas L. Beck","startTime":1287.79,"endTime":1291.84,"body":"people not familiar with that"},{"speaker":"Dr. Douglas L. Beck","startTime":1287.79,"endTime":1291.84,"body":"most hearing aids in America and"},{"speaker":"Dr. Douglas L. Beck","startTime":1291.84,"endTime":1294.6,"body":"across the world are not fit"},{"speaker":"Dr. Douglas L. Beck","startTime":1291.84,"endTime":1294.6,"body":"with real ear, they're fit with,"},{"speaker":"Dr. Douglas L. Beck","startTime":1294.6,"endTime":1297.7199999999998,"body":"you know, what the clinicians do"},{"speaker":"Dr. Douglas L. Beck","startTime":1294.6,"endTime":1297.7199999999998,"body":"is they set it to where it's"},{"speaker":"Dr. Douglas L. Beck","startTime":1297.7199999999998,"endTime":1301.62,"body":"comfortable, where everybody"},{"speaker":"Dr. Douglas L. Beck","startTime":1297.7199999999998,"endTime":1301.62,"body":"likes it and where it sounds"},{"speaker":"Dr. Douglas L. Beck","startTime":1301.62,"endTime":1304.05,"body":"natural. So that's okay. I mean,"},{"speaker":"Dr. Douglas L. Beck","startTime":1301.62,"endTime":1304.05,"body":"there's nothing really wrong"},{"speaker":"Dr. Douglas L. Beck","startTime":1304.05,"endTime":1310.08,"body":"with that. However, there are"},{"speaker":"Dr. Douglas L. Beck","startTime":1304.05,"endTime":1310.08,"body":"decades of research that show"},{"speaker":"Dr. Douglas L. Beck","startTime":1310.11,"endTime":1313.2299999999998,"body":"fitting algorithms. So in other"},{"speaker":"Dr. Douglas L. Beck","startTime":1310.11,"endTime":1313.2299999999998,"body":"words, you take a given hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":1313.2299999999998,"endTime":1315.75,"body":"loss. And if you look that"},{"speaker":"Dr. Douglas L. Beck","startTime":1313.2299999999998,"endTime":1315.75,"body":"hearing loss off, you can see"},{"speaker":"Dr. Douglas L. Beck","startTime":1315.75,"endTime":1320.28,"body":"how much gain which is how much"},{"speaker":"Dr. Douglas L. Beck","startTime":1315.75,"endTime":1320.28,"body":"louder to make something without"},{"speaker":"Dr. Douglas L. Beck","startTime":1320.28,"endTime":1322.6799999999998,"body":"going too loud. Because we know"},{"speaker":"Dr. Douglas L. Beck","startTime":1320.28,"endTime":1322.6799999999998,"body":"if we make it too loud, people"},{"speaker":"Dr. Douglas L. Beck","startTime":1322.6799999999998,"endTime":1326.58,"body":"are going to find it adverse,"},{"speaker":"Dr. Douglas L. Beck","startTime":1322.6799999999998,"endTime":1326.58,"body":"which is absolutely bad they'll"},{"speaker":"Dr. Douglas L. Beck","startTime":1326.58,"endTime":1328.86,"body":"not wear a hearing aid if it's"},{"speaker":"Dr. Douglas L. Beck","startTime":1326.58,"endTime":1328.86,"body":"too loud. So you have to get"},{"speaker":"Dr. Douglas L. Beck","startTime":1328.86,"endTime":1331.9799999999998,"body":"that sweet spot between how much"},{"speaker":"Dr. Douglas L. Beck","startTime":1328.86,"endTime":1331.9799999999998,"body":"power do they need a different"},{"speaker":"Dr. Douglas L. Beck","startTime":1331.9799999999998,"endTime":1334.32,"body":"frequencies. And that's called"},{"speaker":"Dr. Douglas L. Beck","startTime":1331.9799999999998,"endTime":1334.32,"body":"how much gain do they get,"},{"speaker":"Dr. Douglas L. Beck","startTime":1334.62,"endTime":1338.28,"body":"versus the output. So we have to"},{"speaker":"Dr. Douglas L. Beck","startTime":1334.62,"endTime":1338.28,"body":"be very cognizant of that, well,"},{"speaker":"Dr. Douglas L. Beck","startTime":1338.28,"endTime":1341.01,"body":"here's the funny thing. There"},{"speaker":"Dr. Douglas L. Beck","startTime":1338.28,"endTime":1341.01,"body":"are no two ears that are the"},{"speaker":"Dr. Douglas L. Beck","startTime":1341.01,"endTime":1346.6499999999999,"body":"same. So when we use a universal"},{"speaker":"Dr. Douglas L. Beck","startTime":1341.01,"endTime":1346.6499999999999,"body":"fitting program, we get close."},{"speaker":"Dr. Douglas L. Beck","startTime":1346.7099999999998,"endTime":1349.9499999999998,"body":"When we use real ear, we get"},{"speaker":"Dr. Douglas L. Beck","startTime":1346.7099999999998,"endTime":1349.9499999999998,"body":"exact, and there there's at"},{"speaker":"Dr. Douglas L. Beck","startTime":1349.9499999999998,"endTime":1352.29,"body":"least three or four studies that"},{"speaker":"Dr. Douglas L. Beck","startTime":1349.9499999999998,"endTime":1352.29,"body":"I can tell you off the top of my"},{"speaker":"Dr. Douglas L. Beck","startTime":1352.29,"endTime":1356.6699999999998,"body":"head, that have compared first"},{"speaker":"Dr. Douglas L. Beck","startTime":1352.29,"endTime":1356.6699999999998,"body":"fittings just using more of a"},{"speaker":"Dr. Douglas L. Beck","startTime":1356.6699999999998,"endTime":1360.4799999999998,"body":"universal approach, versus a"},{"speaker":"Dr. Douglas L. Beck","startTime":1356.6699999999998,"endTime":1360.4799999999998,"body":"person specific approach, which"},{"speaker":"Dr. Douglas L. Beck","startTime":1360.4799999999998,"endTime":1364.32,"body":"is called a real ear or probe"},{"speaker":"Dr. Douglas L. Beck","startTime":1360.4799999999998,"endTime":1364.32,"body":"mic real ear system. When you're"},{"speaker":"Dr. Douglas L. Beck","startTime":1364.32,"endTime":1367.6499999999999,"body":"doing what Dr. Delfino is doing,"},{"speaker":"Dr. Douglas L. Beck","startTime":1364.32,"endTime":1367.6499999999999,"body":"you're adding exactly the right"},{"speaker":"Dr. Douglas L. Beck","startTime":1367.6499999999999,"endTime":1370.77,"body":"amount of sound. Now, the funny"},{"speaker":"Dr. Douglas L. Beck","startTime":1367.6499999999999,"endTime":1370.77,"body":"thing about that is sometimes"},{"speaker":"Dr. Douglas L. Beck","startTime":1370.77,"endTime":1373.02,"body":"when you're a brand new patient,"},{"speaker":"Dr. Douglas L. Beck","startTime":1370.77,"endTime":1373.02,"body":"and you're being fitted with"},{"speaker":"Dr. Douglas L. Beck","startTime":1373.02,"endTime":1376.11,"body":"exactly what your brain needs, y"},{"speaker":"Dr. Douglas L. Beck","startTime":1373.02,"endTime":1376.11,"body":"u may say, Well, that soun"},{"speaker":"Dr. Douglas L. Beck","startTime":1376.1399999999999,"endTime":1378.6299999999999,"body":"s tinny, or that sounds funny, a"},{"speaker":"Dr. Douglas L. Beck","startTime":1376.1399999999999,"endTime":1378.6299999999999,"body":"d you know what it does, becau"},{"speaker":"Dr. Douglas L. Beck","startTime":1378.6299999999999,"endTime":1382.5,"body":"e you're not used to it, and"},{"speaker":"Dr. Douglas L. Beck","startTime":1378.6299999999999,"endTime":1382.5,"body":"t takes about 30 days of weari"},{"speaker":"Dr. Douglas L. Beck","startTime":1382.5,"endTime":1386.4599999999998,"body":"g it all day to get used to i"},{"speaker":"Dr. Douglas L. Beck","startTime":1382.5,"endTime":1386.4599999999998,"body":", and then your brain will be ab"},{"speaker":"Dr. Douglas L. Beck","startTime":1386.4599999999998,"endTime":1389.9699999999998,"body":"e to use that informati"},{"speaker":"Dr. Douglas L. Beck","startTime":1386.4599999999998,"endTime":1389.9699999999998,"body":"n maximally. If we tuned it do"},{"speaker":"Dr. Douglas L. Beck","startTime":1389.9699999999998,"endTime":1391.62,"body":"n to where you say it"},{"speaker":"Dr. Douglas L. Beck","startTime":1389.9699999999998,"endTime":1391.62,"body":"s comfortable, you're going"},{"speaker":"Dr. Douglas L. Beck","startTime":1391.62,"endTime":1394.02,"body":"o like it immediately. That"},{"speaker":"Dr. Douglas L. Beck","startTime":1391.62,"endTime":1394.02,"body":"s totally true. But the probl"},{"speaker":"Dr. Douglas L. Beck","startTime":1394.02,"endTime":1396.36,"body":"m with that is, we're not givi"},{"speaker":"Dr. Douglas L. Beck","startTime":1394.02,"endTime":1396.36,"body":"g you everything that your bra"},{"speaker":"Dr. Douglas L. Beck","startTime":1396.36,"endTime":1399.8999999999999,"body":"n needs, because your brain h"},{"speaker":"Dr. Douglas L. Beck","startTime":1396.36,"endTime":1399.8999999999999,"body":"s forgotten those sounds. And"},{"speaker":"Dr. Douglas L. Beck","startTime":1399.8999999999999,"endTime":1402.51,"body":"o they sound a little bit foreig"},{"speaker":"Dr. Douglas L. Beck","startTime":1399.8999999999999,"endTime":1402.51,"body":", they sound a little bit unusua"},{"speaker":"Dr. Douglas L. Beck","startTime":1402.51,"endTime":1405.6299999999999,"body":", because you're not used to the"},{"speaker":"Dr. Douglas L. Beck","startTime":1402.51,"endTime":1405.6299999999999,"body":". And we know this. And so wh"},{"speaker":"Dr. Douglas L. Beck","startTime":1405.6299999999999,"endTime":1408.6599999999999,"body":"n I'm dealing with patients fr"},{"speaker":"Dr. Douglas L. Beck","startTime":1405.6299999999999,"endTime":1408.6599999999999,"body":"m all over the world, I will te"},{"speaker":"Dr. Douglas L. Beck","startTime":1408.6599999999999,"endTime":1411.33,"body":"l them that when I fit you t"},{"speaker":"Dr. Douglas L. Beck","startTime":1408.6599999999999,"endTime":1411.33,"body":"e first day is going to be"},{"speaker":"Dr. Douglas L. Beck","startTime":1411.36,"endTime":1415.3799999999999,"body":"a really weird day. To heari"},{"speaker":"Dr. Douglas L. Beck","startTime":1411.36,"endTime":1415.3799999999999,"body":"g this stuff. If I said for y"},{"speaker":"Dr. Douglas L. Beck","startTime":1415.3799999999999,"endTime":1417.87,"body":"u tell me it's total"},{"speaker":"Dr. Douglas L. Beck","startTime":1415.3799999999999,"endTime":1417.87,"body":"y comfortable. Well, if you'"},{"speaker":"Dr. Douglas L. Beck","startTime":1417.87,"endTime":1420.2399999999998,"body":"e going to have me set it"},{"speaker":"Dr. Douglas L. Beck","startTime":1417.87,"endTime":1420.2399999999998,"body":"o where, where it is, without yo"},{"speaker":"Dr. Douglas L. Beck","startTime":1420.2399999999998,"endTime":1422.82,"body":"r hearing aids, that's what you'"},{"speaker":"Dr. Douglas L. Beck","startTime":1420.2399999999998,"endTime":1422.82,"body":"e comfortable with. The problem"},{"speaker":"Dr. Douglas L. Beck","startTime":1422.82,"endTime":1425.76,"body":"s that if I set it that way, yo"},{"speaker":"Dr. Douglas L. Beck","startTime":1422.82,"endTime":1425.76,"body":"r brains not being enriched wi"},{"speaker":"Dr. Douglas L. Beck","startTime":1425.76,"endTime":1429.3899999999999,"body":"h the sounds that your ears"},{"speaker":"Dr. Douglas L. Beck","startTime":1425.76,"endTime":1429.3899999999999,"body":"y themselves are not sending"},{"speaker":"Dr. Douglas L. Beck","startTime":1429.3899999999999,"endTime":1432.57,"body":"o your brain. So we need to ma"},{"speaker":"Dr. Douglas L. Beck","startTime":1429.3899999999999,"endTime":1432.57,"body":"e it sound a little bit unusual,"},{"speaker":"Dr. Douglas L. Beck","startTime":1432.57,"endTime":1435.4199999999998,"body":"a little foreign, so that yo"},{"speaker":"Dr. Douglas L. Beck","startTime":1432.57,"endTime":1435.4199999999998,"body":"r brain is getting that ext"},{"speaker":"Dr. Douglas L. Beck","startTime":1435.4199999999998,"endTime":1437.8799999999999,"body":"a information, which is why y"},{"speaker":"Dr. Douglas L. Beck","startTime":1435.4199999999998,"endTime":1437.8799999999999,"body":"u came in to begin with so th"},{"speaker":"Dr. Douglas L. Beck","startTime":1437.8799999999999,"endTime":1440.8799999999999,"body":"t real ear idea that Dr. Delfi"},{"speaker":"Dr. Douglas L. Beck","startTime":1437.8799999999999,"endTime":1440.8799999999999,"body":"o was talking about two things"},{"speaker":"Dr. Douglas L. Beck","startTime":1440.8799999999999,"endTime":1444.3,"body":"n that if I may, consumers repo"},{"speaker":"Dr. Douglas L. Beck","startTime":1440.8799999999999,"endTime":1444.3,"body":"t says if you go there Janua"},{"speaker":"Dr. Douglas L. Beck","startTime":1444.33,"endTime":1448.35,"body":"y 2020 publication, they say, y"},{"speaker":"Dr. Douglas L. Beck","startTime":1444.33,"endTime":1448.35,"body":"u know, you should only thi"},{"speaker":"Dr. Douglas L. Beck","startTime":1448.35,"endTime":1450.51,"body":"k about getting hearing aids wh"},{"speaker":"Dr. Douglas L. Beck","startTime":1448.35,"endTime":1450.51,"body":"n people are doing real e"},{"speaker":"Dr. Douglas L. Beck","startTime":1450.51,"endTime":1452.28,"body":"r measures to that's the only w"},{"speaker":"Dr. Douglas L. Beck","startTime":1450.51,"endTime":1452.28,"body":"y that they're being fitt"},{"speaker":"Dr. Douglas L. Beck","startTime":1452.28,"endTime":1455.28,"body":"d properly. And again, not to s"},{"speaker":"Dr. Douglas L. Beck","startTime":1452.28,"endTime":1455.28,"body":"y the others are bad, but this"},{"speaker":"Dr. Douglas L. Beck","startTime":1455.28,"endTime":1459.3899999999999,"body":"s the best, this is the way th"},{"speaker":"Dr. Douglas L. Beck","startTime":1455.28,"endTime":1459.3899999999999,"body":"t we do it scientifically. And H"},{"speaker":"Dr. Douglas L. Beck","startTime":1459.3899999999999,"endTime":1462.06,"body":"A the Hearing Loss Association"},{"speaker":"Dr. Douglas L. Beck","startTime":1459.3899999999999,"endTime":1462.06,"body":"f America says the same thin"},{"speaker":"Dr. Douglas L. Beck","startTime":1462.33,"endTime":1465.75,"body":", that you really, really want"},{"speaker":"Dr. Douglas L. Beck","startTime":1462.33,"endTime":1465.75,"body":"o seek the use of real e"},{"speaker":"Dr. Douglas L. Beck","startTime":1465.75,"endTime":1468.81,"body":"r measures when you're getting n"},{"speaker":"Dr. Douglas L. Beck","startTime":1465.75,"endTime":1468.81,"body":"w hearing aids because it makes"},{"speaker":"Dr. Douglas L. Beck","startTime":1468.81,"endTime":1469.77,"body":"a huge differenc"},{"speaker":"Blaise Delfino","startTime":1470.29,"endTime":1472.6899999999998,"body":"Doug to dovetail"},{"speaker":"Blaise Delfino","startTime":1470.29,"endTime":1472.6899999999998,"body":"off that it really does make a"},{"speaker":"Blaise Delfino","startTime":1472.6899999999998,"endTime":1476.6799999999998,"body":"huge difference. And this is"},{"speaker":"Blaise Delfino","startTime":1472.6899999999998,"endTime":1476.6799999999998,"body":"what we found out audiology"},{"speaker":"Blaise Delfino","startTime":1476.6799999999998,"endTime":1481.9299999999998,"body":"services in 2019. We had zero"},{"speaker":"Blaise Delfino","startTime":1476.6799999999998,"endTime":1481.9299999999998,"body":"returns, no hearing instruments"},{"speaker":"Blaise Delfino","startTime":1481.9299999999998,"endTime":1488.4399999999998,"body":"were returned 2000 and 2020. Now"},{"speaker":"Blaise Delfino","startTime":1481.9299999999998,"endTime":1488.4399999999998,"body":"granted, we were open maybe a"},{"speaker":"Blaise Delfino","startTime":1488.4399999999998,"endTime":1492.07,"body":"total of six and a half months,"},{"speaker":"Blaise Delfino","startTime":1488.4399999999998,"endTime":1492.07,"body":"seven months now, zero returns,"},{"speaker":"Blaise Delfino","startTime":1492.1,"endTime":1494.9499999999998,"body":"we are conducting real ear"},{"speaker":"Blaise Delfino","startTime":1492.1,"endTime":1494.9499999999998,"body":"measurement on every single"},{"speaker":"Blaise Delfino","startTime":1494.9499999999998,"endTime":1500.11,"body":"patient for whether they're new,"},{"speaker":"Blaise Delfino","startTime":1494.9499999999998,"endTime":1500.11,"body":"new fittings or re you know, re"},{"speaker":"Blaise Delfino","startTime":1500.11,"endTime":1505.7199999999998,"body":"evaluated patients. But what we"},{"speaker":"Blaise Delfino","startTime":1500.11,"endTime":1505.7199999999998,"body":"found as well is at times, of"},{"speaker":"Blaise Delfino","startTime":1505.7199999999998,"endTime":1508.57,"body":"course, we'll conduct that real"},{"speaker":"Blaise Delfino","startTime":1505.7199999999998,"endTime":1508.57,"body":"ear measurement. But what we'll"},{"speaker":"Blaise Delfino","startTime":1508.57,"endTime":1511.9299999999998,"body":"do is go into the sound controls"},{"speaker":"Blaise Delfino","startTime":1508.57,"endTime":1511.9299999999998,"body":"and start them at experience"},{"speaker":"Blaise Delfino","startTime":1511.9299999999998,"endTime":1516.07,"body":"manager one but at least we have"},{"speaker":"Blaise Delfino","startTime":1511.9299999999998,"endTime":1516.07,"body":"a picture of where we're going"},{"speaker":"Blaise Delfino","startTime":1516.07,"endTime":1520.54,"body":"to go in the next three weeks,"},{"speaker":"Blaise Delfino","startTime":1516.07,"endTime":1520.54,"body":"four weeks, of course, every"},{"speaker":"Blaise Delfino","startTime":1520.54,"endTime":1524.83,"body":"individual essentially"},{"speaker":"Blaise Delfino","startTime":1520.54,"endTime":1524.83,"body":"acclimates maybe a little"},{"speaker":"Blaise Delfino","startTime":1524.83,"endTime":1527.9199999999998,"body":"quicker than others to that"},{"speaker":"Blaise Delfino","startTime":1524.83,"endTime":1527.9199999999998,"body":"hearing technology. And this"},{"speaker":"Blaise Delfino","startTime":1527.9499999999998,"endTime":1532.87,"body":"absolutely is a great segue into"},{"speaker":"Blaise Delfino","startTime":1527.9499999999998,"endTime":1532.87,"body":"the essentials to a hearing aid"},{"speaker":"Blaise Delfino","startTime":1532.87,"endTime":1536.4699999999998,"body":"fitting, Doug. You know, again,"},{"speaker":"Blaise Delfino","startTime":1532.87,"endTime":1536.4699999999998,"body":"with that cognition, audition"},{"speaker":"Blaise Delfino","startTime":1536.4699999999998,"endTime":1540.82,"body":"and amplification. There's three"},{"speaker":"Blaise Delfino","startTime":1536.4699999999998,"endTime":1540.82,"body":"essentials counseling or"},{"speaker":"Blaise Delfino","startTime":1540.82,"endTime":1544.6,"body":"rehabilitation and the"},{"speaker":"Blaise Delfino","startTime":1540.82,"endTime":1544.6,"body":"amplification itself, can you"},{"speaker":"Blaise Delfino","startTime":1544.6,"endTime":1547.6299999999999,"body":"bring us through those three"},{"speaker":"Blaise Delfino","startTime":1544.6,"endTime":1547.6299999999999,"body":"essentials to that successful"},{"speaker":"Blaise Delfino","startTime":1547.6299999999999,"endTime":1548.3799999999999,"body":"hearing aid fitting?"},{"speaker":"Dr. Douglas L. Beck","startTime":1549.1399999999999,"endTime":1552.26,"body":"Yes, I want"},{"speaker":"Dr. Douglas L. Beck","startTime":1549.1399999999999,"endTime":1552.26,"body":"to go back to something you said"},{"speaker":"Dr. Douglas L. Beck","startTime":1552.26,"endTime":1555.05,"body":"the first, when you talk about"},{"speaker":"Dr. Douglas L. Beck","startTime":1552.26,"endTime":1555.05,"body":"adaptation over three or four"},{"speaker":"Dr. Douglas L. Beck","startTime":1555.05,"endTime":1558.7399999999998,"body":"weeks, at oticon, we've been"},{"speaker":"Dr. Douglas L. Beck","startTime":1555.05,"endTime":1558.7399999999998,"body":"doing that now for about 20"},{"speaker":"Dr. Douglas L. Beck","startTime":1558.7399999999998,"endTime":1561.29,"body":"years we have in our products"},{"speaker":"Dr. Douglas L. Beck","startTime":1558.7399999999998,"endTime":1561.29,"body":"and they called adaptation"},{"speaker":"Dr. Douglas L. Beck","startTime":1561.6499999999999,"endTime":1564.86,"body":"manager. And what that's about"},{"speaker":"Dr. Douglas L. Beck","startTime":1561.6499999999999,"endTime":1564.86,"body":"is exactly what Blaise was"},{"speaker":"Dr. Douglas L. Beck","startTime":1564.86,"endTime":1567.56,"body":"saying, so that we set it, even"},{"speaker":"Dr. Douglas L. Beck","startTime":1564.86,"endTime":1567.56,"body":"though we know what the target"},{"speaker":"Dr. Douglas L. Beck","startTime":1567.56,"endTime":1569.9899999999998,"body":"is, we know we want to get you"},{"speaker":"Dr. Douglas L. Beck","startTime":1567.56,"endTime":1569.9899999999998,"body":"up to the full prescription,"},{"speaker":"Dr. Douglas L. Beck","startTime":1569.9899999999998,"endTime":1573.32,"body":"because that's where your brain"},{"speaker":"Dr. Douglas L. Beck","startTime":1569.9899999999998,"endTime":1573.32,"body":"will probably do best, we"},{"speaker":"Dr. Douglas L. Beck","startTime":1573.32,"endTime":1576.26,"body":"started quite a bit lower and"},{"speaker":"Dr. Douglas L. Beck","startTime":1573.32,"endTime":1576.26,"body":"let it adapt automatically over"},{"speaker":"Dr. Douglas L. Beck","startTime":1576.26,"endTime":1579.77,"body":"time. So when you go into the"},{"speaker":"Dr. Douglas L. Beck","startTime":1576.26,"endTime":1579.77,"body":"office, they can reset it. And"},{"speaker":"Dr. Douglas L. Beck","startTime":1579.8,"endTime":1582.29,"body":"if you can't make it back to the"},{"speaker":"Dr. Douglas L. Beck","startTime":1579.8,"endTime":1582.29,"body":"office, you can set it to do it"},{"speaker":"Dr. Douglas L. Beck","startTime":1582.29,"endTime":1586.4899999999998,"body":"by itself. So all kinds of ways"},{"speaker":"Dr. Douglas L. Beck","startTime":1582.29,"endTime":1586.4899999999998,"body":"to help you manage through that"},{"speaker":"Dr. Douglas L. Beck","startTime":1586.4899999999998,"endTime":1588.86,"body":"adaptation period, all of which"},{"speaker":"Dr. Douglas L. Beck","startTime":1586.4899999999998,"endTime":1588.86,"body":"are very important, because this"},{"speaker":"Dr. Douglas L. Beck","startTime":1588.86,"endTime":1591.59,"body":"place that everybody does it"},{"speaker":"Dr. Douglas L. Beck","startTime":1588.86,"endTime":1591.59,"body":"differently, which is exactly"},{"speaker":"Dr. Douglas L. Beck","startTime":1591.59,"endTime":1594.6799999999998,"body":"right. Okay, so the question on"},{"speaker":"Dr. Douglas L. Beck","startTime":1591.59,"endTime":1594.6799999999998,"body":"counseling, how important is"},{"speaker":"Dr. Douglas L. Beck","startTime":1594.6799999999998,"endTime":1597.08,"body":"counseling? Well, there are a"},{"speaker":"Dr. Douglas L. Beck","startTime":1594.6799999999998,"endTime":1597.08,"body":"lot of studies that have looked"},{"speaker":"Dr. Douglas L. Beck","startTime":1597.08,"endTime":1601.4599999999998,"body":"at people with hearing aids with"},{"speaker":"Dr. Douglas L. Beck","startTime":1597.08,"endTime":1601.4599999999998,"body":"counseling and without, and"},{"speaker":"Dr. Douglas L. Beck","startTime":1601.4599999999998,"endTime":1606.4099999999999,"body":"conversely, there are people who"},{"speaker":"Dr. Douglas L. Beck","startTime":1601.4599999999998,"endTime":1606.4099999999999,"body":"we looked at their cognitive"},{"speaker":"Dr. Douglas L. Beck","startTime":1606.5,"endTime":1610.55,"body":"issues, using counseling by"},{"speaker":"Dr. Douglas L. Beck","startTime":1606.5,"endTime":1610.55,"body":"itself, and using counseling"},{"speaker":"Dr. Douglas L. Beck","startTime":1610.55,"endTime":1613.8799999999999,"body":"plus hearing aids. And in one of"},{"speaker":"Dr. Douglas L. Beck","startTime":1610.55,"endTime":1613.8799999999999,"body":"the I have a brand new article"},{"speaker":"Dr. Douglas L. Beck","startTime":1613.8799999999999,"endTime":1618.4399999999998,"body":"coming out in hearing review in"},{"speaker":"Dr. Douglas L. Beck","startTime":1613.8799999999999,"endTime":1618.4399999999998,"body":"January 2021. And we talked"},{"speaker":"Dr. Douglas L. Beck","startTime":1618.4399999999998,"endTime":1623.81,"body":"about in that article, that the"},{"speaker":"Dr. Douglas L. Beck","startTime":1618.4399999999998,"endTime":1623.81,"body":"people who got counseling and"},{"speaker":"Dr. Douglas L. Beck","startTime":1623.81,"endTime":1629.9599999999998,"body":"hearing aids, had better"},{"speaker":"Dr. Douglas L. Beck","startTime":1623.81,"endTime":1629.9599999999998,"body":"retention of memory tassets,"},{"speaker":"Dr. Douglas L. Beck","startTime":1630.26,"endTime":1633.2299999999998,"body":"than people who just got"},{"speaker":"Dr. Douglas L. Beck","startTime":1630.26,"endTime":1633.2299999999998,"body":"counseling. So and there are"},{"speaker":"Dr. Douglas L. Beck","startTime":1633.2299999999998,"endTime":1636.77,"body":"other examples as well. And"},{"speaker":"Dr. Douglas L. Beck","startTime":1633.2299999999998,"endTime":1636.77,"body":"these are not research studies"},{"speaker":"Dr. Douglas L. Beck","startTime":1636.77,"endTime":1638.81,"body":"that I have personally"},{"speaker":"Dr. Douglas L. Beck","startTime":1636.77,"endTime":1638.81,"body":"performed. These are from the"},{"speaker":"Dr. Douglas L. Beck","startTime":1638.81,"endTime":1642.1999999999998,"body":"peer reviewed literature that I"},{"speaker":"Dr. Douglas L. Beck","startTime":1638.81,"endTime":1642.1999999999998,"body":"basically read, learned about"},{"speaker":"Dr. Douglas L. Beck","startTime":1642.1999999999998,"endTime":1644.1499999999999,"body":"reviewed, and then wrote about"},{"speaker":"Dr. Douglas L. Beck","startTime":1642.1999999999998,"endTime":1644.1499999999999,"body":"them, because they're so"},{"speaker":"Dr. Douglas L. Beck","startTime":1644.1499999999999,"endTime":1647.8999999999999,"body":"fascinating that these are"},{"speaker":"Dr. Douglas L. Beck","startTime":1644.1499999999999,"endTime":1647.8999999999999,"body":"studies that are peer reviewed,"},{"speaker":"Dr. Douglas L. Beck","startTime":1647.8999999999999,"endTime":1650.87,"body":"and get all the references will"},{"speaker":"Dr. Douglas L. Beck","startTime":1647.8999999999999,"endTime":1650.87,"body":"be in the January 2021 hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":1650.87,"endTime":1653.9299999999998,"body":"review. But it's so important to"},{"speaker":"Dr. Douglas L. Beck","startTime":1650.87,"endTime":1653.9299999999998,"body":"understand that when you take a"},{"speaker":"Dr. Douglas L. Beck","startTime":1653.9299999999998,"endTime":1656.4199999999998,"body":"patient, and you just give them"},{"speaker":"Dr. Douglas L. Beck","startTime":1653.9299999999998,"endTime":1656.4199999999998,"body":"good counseling, well, that's"},{"speaker":"Dr. Douglas L. Beck","startTime":1656.4199999999998,"endTime":1659.51,"body":"great. I mean, that is awesome."},{"speaker":"Dr. Douglas L. Beck","startTime":1656.4199999999998,"endTime":1659.51,"body":"But if they have hearing loss,"},{"speaker":"Dr. Douglas L. Beck","startTime":1659.51,"endTime":1663.32,"body":"what we find really benefits,"},{"speaker":"Dr. Douglas L. Beck","startTime":1659.51,"endTime":1663.32,"body":"most of the patients most of the"},{"speaker":"Dr. Douglas L. Beck","startTime":1663.32,"endTime":1668.2399999999998,"body":"time is to get them back into"},{"speaker":"Dr. Douglas L. Beck","startTime":1663.32,"endTime":1668.2399999999998,"body":"the hearing world where their"},{"speaker":"Dr. Douglas L. Beck","startTime":1668.2399999999998,"endTime":1672.32,"body":"brain is getting maximal"},{"speaker":"Dr. Douglas L. Beck","startTime":1668.2399999999998,"endTime":1672.32,"body":"auditory stimulation. And that"},{"speaker":"Dr. Douglas L. Beck","startTime":1672.32,"endTime":1675.26,"body":"combined with counseling usually"},{"speaker":"Dr. Douglas L. Beck","startTime":1672.32,"endTime":1675.26,"body":"is the most effective. Now,"},{"speaker":"Dr. Douglas L. Beck","startTime":1675.4699999999998,"endTime":1678.1999999999998,"body":"there's a bunch of caveats that"},{"speaker":"Dr. Douglas L. Beck","startTime":1675.4699999999998,"endTime":1678.1999999999998,"body":"I have to say, you know, we"},{"speaker":"Dr. Douglas L. Beck","startTime":1678.1999999999998,"endTime":1680.4499999999998,"body":"can't just say that we're going"},{"speaker":"Dr. Douglas L. Beck","startTime":1678.1999999999998,"endTime":1680.4499999999998,"body":"to put hearing aids on somebody"},{"speaker":"Dr. Douglas L. Beck","startTime":1680.4499999999998,"endTime":1683.51,"body":"to, you know, improve their"},{"speaker":"Dr. Douglas L. Beck","startTime":1680.4499999999998,"endTime":1683.51,"body":"brain or their memory or"},{"speaker":"Dr. Douglas L. Beck","startTime":1683.51,"endTime":1686.3,"body":"anything like that, you know"},{"speaker":"Dr. Douglas L. Beck","startTime":1683.51,"endTime":1686.3,"body":"that it does seem to work on"},{"speaker":"Dr. Douglas L. Beck","startTime":1686.3,"endTime":1688.25,"body":"some of the people some of the"},{"speaker":"Dr. Douglas L. Beck","startTime":1686.3,"endTime":1688.25,"body":"time, but we're just at the"},{"speaker":"Dr. Douglas L. Beck","startTime":1688.25,"endTime":1691.1599999999999,"body":"beginning of these studies. And"},{"speaker":"Dr. Douglas L. Beck","startTime":1688.25,"endTime":1691.1599999999999,"body":"we can't make any promises or"},{"speaker":"Dr. Douglas L. Beck","startTime":1691.1599999999999,"endTime":1694.4299999999998,"body":"commitments. We do know that in"},{"speaker":"Dr. Douglas L. Beck","startTime":1691.1599999999999,"endTime":1694.4299999999998,"body":"the long term studies. And"},{"speaker":"Dr. Douglas L. Beck","startTime":1694.4299999999998,"endTime":1697.9399999999998,"body":"again, there's probably, you"},{"speaker":"Dr. Douglas L. Beck","startTime":1694.4299999999998,"endTime":1697.9399999999998,"body":"know, five or six that have been"},{"speaker":"Dr. Douglas L. Beck","startTime":1697.9399999999998,"endTime":1701.9299999999998,"body":"going on for 10 or 20 years now."},{"speaker":"Dr. Douglas L. Beck","startTime":1697.9399999999998,"endTime":1701.9299999999998,"body":"And indeed, the people who get"},{"speaker":"Dr. Douglas L. Beck","startTime":1701.9299999999998,"endTime":1706.04,"body":"hearing aids who have hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":1701.9299999999998,"endTime":1706.04,"body":"loss, tend to have better"},{"speaker":"Dr. Douglas L. Beck","startTime":1706.52,"endTime":1711.4399999999998,"body":"aspects of cognitive function"},{"speaker":"Dr. Douglas L. Beck","startTime":1706.52,"endTime":1711.4399999999998,"body":"later, can't be promised, can't"},{"speaker":"Dr. Douglas L. Beck","startTime":1711.4399999999998,"endTime":1713.6899999999998,"body":"guarantee it. But when you look"},{"speaker":"Dr. Douglas L. Beck","startTime":1711.4399999999998,"endTime":1713.6899999999998,"body":"through the peer reviewed"},{"speaker":"Dr. Douglas L. Beck","startTime":1713.6899999999998,"endTime":1717.7399999999998,"body":"literature, that is one of the"},{"speaker":"Dr. Douglas L. Beck","startTime":1713.6899999999998,"endTime":1717.7399999999998,"body":"things that seems to be pretty"},{"speaker":"Dr. Douglas L. Beck","startTime":1717.7399999999998,"endTime":1721.79,"body":"much apparent most of the time"},{"speaker":"Dr. Douglas L. Beck","startTime":1717.7399999999998,"endTime":1721.79,"body":"is that if somebody has hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":1721.79,"endTime":1728.09,"body":"loss, and they don't treat it,"},{"speaker":"Dr. Douglas L. Beck","startTime":1721.79,"endTime":1728.09,"body":"their their expected decline is"},{"speaker":"Dr. Douglas L. Beck","startTime":1728.09,"endTime":1731.51,"body":"more rapid than somebody who has"},{"speaker":"Dr. Douglas L. Beck","startTime":1728.09,"endTime":1731.51,"body":"hearing loss and does treat it"},{"speaker":"Dr. Douglas L. Beck","startTime":1731.6,"endTime":1734.6599999999999,"body":"with amplification that's"},{"speaker":"Dr. Douglas L. Beck","startTime":1731.6,"endTime":1734.6599999999999,"body":"appropriately fit with, you"},{"speaker":"Dr. Douglas L. Beck","startTime":1734.6599999999999,"endTime":1738.4699999999998,"body":"know, excellent hearing aids and"},{"speaker":"Dr. Douglas L. Beck","startTime":1734.6599999999999,"endTime":1738.4699999999998,"body":"with real ear measures and, and"},{"speaker":"Dr. Douglas L. Beck","startTime":1738.4699999999998,"endTime":1742.1299999999999,"body":"other validation measures, like"},{"speaker":"Dr. Douglas L. Beck","startTime":1738.4699999999998,"endTime":1742.1299999999999,"body":"the APHAB to make sure that the"},{"speaker":"Dr. Douglas L. Beck","startTime":1742.1299999999999,"endTime":1744.35,"body":"fitting has met the goals of the"},{"speaker":"Dr. Douglas L. Beck","startTime":1742.1299999999999,"endTime":1744.35,"body":"patient, because we don't just"},{"speaker":"Dr. Douglas L. Beck","startTime":1744.35,"endTime":1747.29,"body":"do this in isolation, to make"},{"speaker":"Dr. Douglas L. Beck","startTime":1744.35,"endTime":1747.29,"body":"things louder, and to make it"},{"speaker":"Dr. Douglas L. Beck","startTime":1747.59,"endTime":1750.4099999999999,"body":"make the world clearer. We want"},{"speaker":"Dr. Douglas L. Beck","startTime":1747.59,"endTime":1750.4099999999999,"body":"to make sure and this this is so"},{"speaker":"Dr. Douglas L. Beck","startTime":1750.4099999999999,"endTime":1754.01,"body":"important that when you when"},{"speaker":"Dr. Douglas L. Beck","startTime":1750.4099999999999,"endTime":1754.01,"body":"you're talking about getting"},{"speaker":"Dr. Douglas L. Beck","startTime":1823.3899999999999,"endTime":1825.4299999999998,"body":"hearing aids, you want to find"},{"speaker":"Dr. Douglas L. Beck","startTime":1823.3899999999999,"endTime":1825.4299999999998,"body":"somebody who's doing these"},{"speaker":"Dr. Douglas L. Beck","startTime":1825.4299999999998,"endTime":1828.7299999999998,"body":"outcomes and these listening and"},{"speaker":"Dr. Douglas L. Beck","startTime":1825.4299999999998,"endTime":1828.7299999999998,"body":"communication measures, like"},{"speaker":"Dr. Douglas L. Beck","startTime":1828.7299999999998,"endTime":1831.9999999999998,"body":"audiology services, because when"},{"speaker":"Dr. Douglas L. Beck","startTime":1828.7299999999998,"endTime":1831.9999999999998,"body":"they're doing that, they can"},{"speaker":"Dr. Douglas L. Beck","startTime":1831.9999999999998,"endTime":1835.0899999999997,"body":"assure that they're meeting your"},{"speaker":"Dr. Douglas L. Beck","startTime":1831.9999999999998,"endTime":1835.0899999999997,"body":"goals, not just hitting targets."},{"speaker":"Dr. Douglas L. Beck","startTime":1835.2999999999997,"endTime":1837.7899999999997,"body":"So that's the whole idea of the"},{"speaker":"Dr. Douglas L. Beck","startTime":1835.2999999999997,"endTime":1837.7899999999997,"body":"AFAB and that stands for the"},{"speaker":"Dr. Douglas L. Beck","startTime":1837.7899999999997,"endTime":1841.9599999999998,"body":"abbreviated profile of hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":1837.7899999999997,"endTime":1841.9599999999998,"body":"aids benefit. So they're"},{"speaker":"Dr. Douglas L. Beck","startTime":1841.9599999999998,"endTime":1845.2599999999998,"body":"actually looking at it from the"},{"speaker":"Dr. Douglas L. Beck","startTime":1841.9599999999998,"endTime":1845.2599999999998,"body":"patient's perspective, what is"},{"speaker":"Dr. Douglas L. Beck","startTime":1845.2899999999997,"endTime":1848.7099999999998,"body":"what what are the benefits the"},{"speaker":"Dr. Douglas L. Beck","startTime":1845.2899999999997,"endTime":1848.7099999999998,"body":"patient is getting related to"},{"speaker":"Dr. Douglas L. Beck","startTime":1848.7099999999998,"endTime":1851.3799999999999,"body":"their hearing aid fitting, so"},{"speaker":"Dr. Douglas L. Beck","startTime":1848.7099999999998,"endTime":1851.3799999999999,"body":"critically important to measure,"},{"speaker":"Dr. Douglas L. Beck","startTime":1851.5899999999997,"endTime":1855.61,"body":"not just these physical measures"},{"speaker":"Dr. Douglas L. Beck","startTime":1851.5899999999997,"endTime":1855.61,"body":"that Dr. Delfino, or that Blaise"},{"speaker":"Dr. Douglas L. Beck","startTime":1855.61,"endTime":1858.9999999999998,"body":"will measure, not just that, but"},{"speaker":"Dr. Douglas L. Beck","startTime":1855.61,"endTime":1858.9999999999998,"body":"the patient's perception as to"},{"speaker":"Dr. Douglas L. Beck","startTime":1858.9999999999998,"endTime":1861.2199999999998,"body":"how they're doing, because"},{"speaker":"Dr. Douglas L. Beck","startTime":1858.9999999999998,"endTime":1861.2199999999998,"body":"that's ultimately what matters"},{"speaker":"Dr. Douglas L. Beck","startTime":1861.2199999999998,"endTime":1861.7299999999998,"body":"most."},{"speaker":"Blaise Delfino","startTime":1863.0299999999997,"endTime":1866.8099999999997,"body":"Absolutely. Wow,"},{"speaker":"Blaise Delfino","startTime":1863.0299999999997,"endTime":1866.8099999999997,"body":"this is this. I'm having so much"},{"speaker":"Blaise Delfino","startTime":1866.8099999999997,"endTime":1871.37,"body":"fun. This episode. I really am."},{"speaker":"Blaise Delfino","startTime":1866.8099999999997,"endTime":1871.37,"body":"Doug, you are, you are awesome."},{"speaker":"Blaise Delfino","startTime":1871.37,"endTime":1874.7299999999998,"body":"Thank you so much for that"},{"speaker":"Blaise Delfino","startTime":1871.37,"endTime":1874.7299999999998,"body":"incredible explanation. And of"},{"speaker":"Blaise Delfino","startTime":1874.7299999999998,"endTime":1878.12,"body":"course we've touched counseling,"},{"speaker":"Blaise Delfino","startTime":1874.7299999999998,"endTime":1878.12,"body":"aural rehabilitation and"},{"speaker":"Blaise Delfino","startTime":1878.12,"endTime":1880.7899999999997,"body":"amplification. But of course,"},{"speaker":"Blaise Delfino","startTime":1878.12,"endTime":1880.7899999999997,"body":"when we talk about"},{"speaker":"Blaise Delfino","startTime":1880.7899999999997,"endTime":1884.6599999999999,"body":"amplification, we alway s say we"},{"speaker":"Blaise Delfino","startTime":1880.7899999999997,"endTime":1884.6599999999999,"body":"fit to the need of the patient."},{"speaker":"Blaise Delfino","startTime":1884.8999999999999,"endTime":1888.9499999999998,"body":"And how do we know if we're"},{"speaker":"Blaise Delfino","startTime":1884.8999999999999,"endTime":1888.9499999999998,"body":"fitting the patient correctly if"},{"speaker":"Blaise Delfino","startTime":1888.9499999999998,"endTime":1893.2099999999998,"body":"we don't know what that"},{"speaker":"Blaise Delfino","startTime":1888.9499999999998,"endTime":1893.2099999999998,"body":"patient's speech and noise score"},{"speaker":"Blaise Delfino","startTime":1893.2099999999998,"endTime":1896.9899999999998,"body":"is, or even that quick SIN score"},{"speaker":"Blaise Delfino","startTime":1893.2099999999998,"endTime":1896.9899999999998,"body":"because of course, we know that"},{"speaker":"Blaise Delfino","startTime":1896.9899999999998,"endTime":1900.5299999999997,"body":"people who perform poorly on"},{"speaker":"Blaise Delfino","startTime":1896.9899999999998,"endTime":1900.5299999999997,"body":"cognitive tests will essentially"},{"speaker":"Blaise Delfino","startTime":1901.1,"endTime":1904.4899999999998,"body":"or at a higher likelihood of"},{"speaker":"Blaise Delfino","startTime":1901.1,"endTime":1904.4899999999998,"body":"performing poorly in speech and"},{"speaker":"Blaise Delfino","startTime":1904.4899999999998,"endTime":1908.6299999999999,"body":"noise and Dr. Delfino, I want to"},{"speaker":"Blaise Delfino","startTime":1904.4899999999998,"endTime":1908.6299999999999,"body":"pass this off to you. And then"},{"speaker":"Blaise Delfino","startTime":1908.6599999999999,"endTime":1914.87,"body":"Doug, why is it so Important to"},{"speaker":"Blaise Delfino","startTime":1908.6599999999999,"endTime":1914.87,"body":"test speech in noise and to"},{"speaker":"Blaise Delfino","startTime":1914.87,"endTime":1918.4099999999999,"body":"collect that quick sin"},{"speaker":"Blaise Delfino","startTime":1914.87,"endTime":1918.4099999999999,"body":"percentage, of course, you've"},{"speaker":"Blaise Delfino","startTime":1918.4099999999999,"endTime":1923.2999999999997,"body":"been an audiologist for over 30"},{"speaker":"Blaise Delfino","startTime":1918.4099999999999,"endTime":1923.2999999999997,"body":"years as Dr. Beck, why is it so"},{"speaker":"Blaise Delfino","startTime":1923.2999999999997,"endTime":1928.7599999999998,"body":"important? And why are most"},{"speaker":"Blaise Delfino","startTime":1923.2999999999997,"endTime":1928.7599999999998,"body":"offices not conducting speech i"},{"speaker":"Blaise Delfino","startTime":1928.7599999999998,"endTime":1929.5399999999997,"body":"noise testing."},{"speaker":"Dr. Gregory Delfino","startTime":1929.9199999999998,"endTime":1931.8099999999997,"body":"One of the"},{"speaker":"Dr. Gregory Delfino","startTime":1929.9199999999998,"endTime":1931.8099999999997,"body":"areas of Audiology that I've"},{"speaker":"Dr. Gregory Delfino","startTime":1932.1399999999999,"endTime":1935.9799999999998,"body":"enjoyed tremendously is auditory"},{"speaker":"Dr. Gregory Delfino","startTime":1932.1399999999999,"endTime":1935.9799999999998,"body":"processing. And certainly part"},{"speaker":"Dr. Gregory Delfino","startTime":1935.9799999999998,"endTime":1940.2399999999998,"body":"of that, that workup is speech"},{"speaker":"Dr. Gregory Delfino","startTime":1935.9799999999998,"endTime":1940.2399999999998,"body":"and noise. And what I"},{"speaker":"Dr. Gregory Delfino","startTime":1940.2999999999997,"endTime":1944.8299999999997,"body":"continually saw in children, and"},{"speaker":"Dr. Gregory Delfino","startTime":1940.2999999999997,"endTime":1944.8299999999997,"body":"in adults as well is that"},{"speaker":"Dr. Gregory Delfino","startTime":1945.1,"endTime":1947.7399999999998,"body":"difficulty with speech in noise"},{"speaker":"Dr. Gregory Delfino","startTime":1945.1,"endTime":1947.7399999999998,"body":"was that at times that was one"},{"speaker":"Dr. Gregory Delfino","startTime":1947.7399999999998,"endTime":1950.4099999999999,"body":"of the reasons why they were"},{"speaker":"Dr. Gregory Delfino","startTime":1947.7399999999998,"endTime":1950.4099999999999,"body":"being referred for a workup was"},{"speaker":"Dr. Gregory Delfino","startTime":1950.4099999999999,"endTime":1954.0699999999997,"body":"just poor speech and noise"},{"speaker":"Dr. Gregory Delfino","startTime":1950.4099999999999,"endTime":1954.0699999999997,"body":"scores. So I knew early on that"},{"speaker":"Dr. Gregory Delfino","startTime":1954.0699999999997,"endTime":1956.4399999999998,"body":"this, this is an important bit"},{"speaker":"Dr. Gregory Delfino","startTime":1954.0699999999997,"endTime":1956.4399999999998,"body":"of information, this is really"},{"speaker":"Dr. Gregory Delfino","startTime":1956.4399999999998,"endTime":1957.6399999999999,"body":"going to tell me how well"},{"speaker":"Dr. Gregory Delfino","startTime":1956.4399999999998,"endTime":1957.6399999999999,"body":"they're going to hear in a"},{"speaker":"Dr. Gregory Delfino","startTime":1957.6399999999999,"endTime":1963.5199999999998,"body":"classroom or in a playground, a"},{"speaker":"Dr. Gregory Delfino","startTime":1957.6399999999999,"endTime":1963.5199999999998,"body":"playground. So I always wanted"},{"speaker":"Dr. Gregory Delfino","startTime":1963.5199999999998,"endTime":1968.2599999999998,"body":"to add that to our evaluations,"},{"speaker":"Dr. Gregory Delfino","startTime":1963.5199999999998,"endTime":1968.2599999999998,"body":"because it's important enough."},{"speaker":"Dr. Gregory Delfino","startTime":1968.9799999999998,"endTime":1972.6399999999999,"body":"And it It highlights enough of"},{"speaker":"Dr. Gregory Delfino","startTime":1968.9799999999998,"endTime":1972.6399999999999,"body":"how one is going to communicate"},{"speaker":"Dr. Gregory Delfino","startTime":1972.6399999999999,"endTime":1975.9999999999998,"body":"in their real world. So for me,"},{"speaker":"Dr. Gregory Delfino","startTime":1972.6399999999999,"endTime":1975.9999999999998,"body":"it's always been a part of my"},{"speaker":"Dr. Gregory Delfino","startTime":1975.9999999999998,"endTime":1981.3999999999999,"body":"evaluation. The quick SIN I find"},{"speaker":"Dr. Gregory Delfino","startTime":1975.9999999999998,"endTime":1981.3999999999999,"body":"helps me with determining the"},{"speaker":"Dr. Gregory Delfino","startTime":1981.3999999999999,"endTime":1986.4399999999998,"body":"level of additive technology"},{"speaker":"Dr. Gregory Delfino","startTime":1981.3999999999999,"endTime":1986.4399999999998,"body":"that they need, but again, in"},{"speaker":"Dr. Gregory Delfino","startTime":1986.4399999999998,"endTime":1990.6999999999998,"body":"tandem, gives me a good profile"},{"speaker":"Dr. Gregory Delfino","startTime":1986.4399999999998,"endTime":1990.6999999999998,"body":"as to what I want to recommend"},{"speaker":"Dr. Gregory Delfino","startTime":1990.9099999999999,"endTime":1992.4999999999998,"body":"for this patient to be"},{"speaker":"Dr. Gregory Delfino","startTime":1990.9099999999999,"endTime":1992.4999999999998,"body":"successful."},{"speaker":"Blaise Delfino","startTime":1992.9499999999998,"endTime":1994.7799999999997,"body":"Absolutely,"},{"speaker":"Blaise Delfino","startTime":1992.9499999999998,"endTime":1994.7799999999997,"body":"because if the patient presents"},{"speaker":"Blaise Delfino","startTime":1994.7799999999997,"endTime":2000.8399999999997,"body":"with a severe quick SIN score,"},{"speaker":"Blaise Delfino","startTime":1994.7799999999997,"endTime":2000.8399999999997,"body":"we need to talk about advanced"},{"speaker":"Blaise Delfino","startTime":2000.8399999999997,"endTime":2003.3899999999999,"body":"premium level technology,"},{"speaker":"Blaise Delfino","startTime":2000.8399999999997,"endTime":2003.3899999999999,"body":"because that has the most"},{"speaker":"Blaise Delfino","startTime":2003.3899999999999,"endTime":2007.11,"body":"aggressive speech and noise"},{"speaker":"Blaise Delfino","startTime":2003.3899999999999,"endTime":2007.11,"body":"relief, right? It's going to"},{"speaker":"Blaise Delfino","startTime":2007.11,"endTime":2010.0799999999997,"body":"decrease the listening effort of"},{"speaker":"Blaise Delfino","startTime":2007.11,"endTime":2010.0799999999997,"body":"that patient and increase their"},{"speaker":"Blaise Delfino","startTime":2010.0799999999997,"endTime":2014.0399999999997,"body":"speech understanding. Now, Doug,"},{"speaker":"Blaise Delfino","startTime":2010.0799999999997,"endTime":2014.0399999999997,"body":"you talk about going beyond the"},{"speaker":"Blaise Delfino","startTime":2014.0399999999997,"endTime":2018.8999999999999,"body":"decibel, and the importance of"},{"speaker":"Blaise Delfino","startTime":2014.0399999999997,"endTime":2018.8999999999999,"body":"speech and noise testing. Why is"},{"speaker":"Blaise Delfino","startTime":2018.8999999999999,"endTime":2020.4599999999998,"body":"speech and noise testing so"},{"speaker":"Blaise Delfino","startTime":2018.8999999999999,"endTime":2020.4599999999998,"body":"important?"},{"speaker":"Dr. Douglas L. Beck","startTime":2020.8799999999999,"endTime":2022.86,"body":"Yes,"},{"speaker":"Dr. Douglas L. Beck","startTime":2020.8799999999999,"endTime":2022.86,"body":"thinking is the only real"},{"speaker":"Dr. Douglas L. Beck","startTime":2022.86,"endTime":2025.9799999999998,"body":"measure we get when you think"},{"speaker":"Dr. Douglas L. Beck","startTime":2022.86,"endTime":2025.9799999999998,"body":"about you're in a sound booth"},{"speaker":"Dr. Douglas L. Beck","startTime":2025.9799999999998,"endTime":2028.2899999999997,"body":"and press the button when you"},{"speaker":"Dr. Douglas L. Beck","startTime":2025.9799999999998,"endTime":2028.2899999999997,"body":"hear the beep for those beeps"},{"speaker":"Dr. Douglas L. Beck","startTime":2028.2899999999997,"endTime":2031.1699999999998,"body":"are called pure tones. They"},{"speaker":"Dr. Douglas L. Beck","startTime":2028.2899999999997,"endTime":2031.1699999999998,"body":"don't exist in the real world,"},{"speaker":"Dr. Douglas L. Beck","startTime":2031.1999999999998,"endTime":2034.5599999999997,"body":"you never hear them outside of"},{"speaker":"Dr. Douglas L. Beck","startTime":2031.1999999999998,"endTime":2034.5599999999997,"body":"the sound booth. Okay, so those"},{"speaker":"Dr. Douglas L. Beck","startTime":2034.5599999999997,"endTime":2037.1699999999998,"body":"are used for diagnostic"},{"speaker":"Dr. Douglas L. Beck","startTime":2034.5599999999997,"endTime":2037.1699999999998,"body":"purposes. And I'm not trying to"},{"speaker":"Dr. Douglas L. Beck","startTime":2037.1699999999998,"endTime":2039.87,"body":"belittle pure tones, the number"},{"speaker":"Dr. Douglas L. Beck","startTime":2037.1699999999998,"endTime":2039.87,"body":"one reason we do it happens to"},{"speaker":"Dr. Douglas L. Beck","startTime":2039.87,"endTime":2043.62,"body":"be the most important reason of"},{"speaker":"Dr. Douglas L. Beck","startTime":2039.87,"endTime":2043.62,"body":"all is to make sure that the"},{"speaker":"Dr. Douglas L. Beck","startTime":2043.62,"endTime":2047.1599999999999,"body":"patient is healthy, and that"},{"speaker":"Dr. Douglas L. Beck","startTime":2043.62,"endTime":2047.1599999999999,"body":"there's no ear disease or a"},{"speaker":"Dr. Douglas L. Beck","startTime":2047.4599999999998,"endTime":2050.5499999999997,"body":"problem that we would refer to a"},{"speaker":"Dr. Douglas L. Beck","startTime":2047.4599999999998,"endTime":2050.5499999999997,"body":"physician. So the reason we do"},{"speaker":"Dr. Douglas L. Beck","startTime":2050.5499999999997,"endTime":2053.7599999999998,"body":"pure tone testing and this line"},{"speaker":"Dr. Douglas L. Beck","startTime":2050.5499999999997,"endTime":2053.7599999999998,"body":"really, really well, but"},{"speaker":"Dr. Douglas L. Beck","startTime":2053.7599999999998,"endTime":2059.04,"body":"otolaryngologic disease, mutual"},{"speaker":"Dr. Douglas L. Beck","startTime":2053.7599999999998,"endTime":2059.04,"body":"audiograms could have dangerous"},{"speaker":"Dr. Douglas L. Beck","startTime":2059.04,"endTime":2062.31,"body":"things going on. So that's why"},{"speaker":"Dr. Douglas L. Beck","startTime":2059.04,"endTime":2062.31,"body":"we do pure tones, but keep in"},{"speaker":"Dr. Douglas L. Beck","startTime":2062.31,"endTime":2065.91,"body":"mind the patient versus those in"},{"speaker":"Dr. Douglas L. Beck","startTime":2062.31,"endTime":2065.91,"body":"the real world. So what we what"},{"speaker":"Dr. Douglas L. Beck","startTime":2065.91,"endTime":2069.8399999999997,"body":"we do with speech and noise, is"},{"speaker":"Dr. Douglas L. Beck","startTime":2065.91,"endTime":2069.8399999999997,"body":"we're saying, Okay, give me an"},{"speaker":"Dr. Douglas L. Beck","startTime":2069.8399999999997,"endTime":2072.87,"body":"environment that sounds kind of"},{"speaker":"Dr. Douglas L. Beck","startTime":2069.8399999999997,"endTime":2072.87,"body":"like a cocktail party or"},{"speaker":"Dr. Douglas L. Beck","startTime":2072.87,"endTime":2076.2599999999998,"body":"restaurant or an airport or a"},{"speaker":"Dr. Douglas L. Beck","startTime":2072.87,"endTime":2076.2599999999998,"body":"wedding reception, because"},{"speaker":"Dr. Douglas L. Beck","startTime":2076.2599999999998,"endTime":2079.41,"body":"that's the noise that bothers"},{"speaker":"Dr. Douglas L. Beck","startTime":2076.2599999999998,"endTime":2079.41,"body":"people. So we want to we"},{"speaker":"Dr. Douglas L. Beck","startTime":2079.41,"endTime":2081.75,"body":"artificially create that"},{"speaker":"Dr. Douglas L. Beck","startTime":2079.41,"endTime":2081.75,"body":"interrupts I have the sound"},{"speaker":"Dr. Douglas L. Beck","startTime":2081.75,"endTime":2085.65,"body":"booth. And we determined your"},{"speaker":"Dr. Douglas L. Beck","startTime":2081.75,"endTime":2085.65,"body":"ability to perceive speech in"},{"speaker":"Dr. Douglas L. Beck","startTime":2085.65,"endTime":2088.17,"body":"that environment. Well, that's"},{"speaker":"Dr. Douglas L. Beck","startTime":2085.65,"endTime":2088.17,"body":"remarkably different than pure"},{"speaker":"Dr. Douglas L. Beck","startTime":2088.17,"endTime":2090.99,"body":"tones. And in fact, you could"},{"speaker":"Dr. Douglas L. Beck","startTime":2088.17,"endTime":2090.99,"body":"have normal hearing our pure"},{"speaker":"Dr. Douglas L. Beck","startTime":2090.99,"endTime":2094.14,"body":"tones and have a horrible"},{"speaker":"Dr. Douglas L. Beck","startTime":2090.99,"endTime":2094.14,"body":"problem understanding speech and"},{"speaker":"Dr. Douglas L. Beck","startTime":2094.14,"endTime":2098.0699999999997,"body":"noise. So that's why Blaise was"},{"speaker":"Dr. Douglas L. Beck","startTime":2094.14,"endTime":2098.0699999999997,"body":"saying it's so important to to"},{"speaker":"Dr. Douglas L. Beck","startTime":2098.49,"endTime":2101.67,"body":"quantify your speech noise"},{"speaker":"Dr. Douglas L. Beck","startTime":2098.49,"endTime":2101.67,"body":"problem, because the score you"},{"speaker":"Dr. Douglas L. Beck","startTime":2101.67,"endTime":2105.5699999999997,"body":"get on a speech and noise test,"},{"speaker":"Dr. Douglas L. Beck","startTime":2101.67,"endTime":2105.5699999999997,"body":"tells us how much help you need."},{"speaker":"Dr. Douglas L. Beck","startTime":2105.96,"endTime":2109.29,"body":"And I'm Stephens doctoral"},{"speaker":"Dr. Douglas L. Beck","startTime":2105.96,"endTime":2109.29,"body":"student asked me about"},{"speaker":"Dr. Douglas L. Beck","startTime":2110.72,"endTime":2112.88,"body":"why don't just assume that"},{"speaker":"Dr. Douglas L. Beck","startTime":2110.72,"endTime":2112.88,"body":"everybody does poorly with"},{"speaker":"Dr. Douglas L. Beck","startTime":2112.88,"endTime":2115.7,"body":"speech and noise just fit them"},{"speaker":"Dr. Douglas L. Beck","startTime":2112.88,"endTime":2115.7,"body":"all maximally? Well, because"},{"speaker":"Dr. Douglas L. Beck","startTime":2115.7,"endTime":2118.67,"body":"it's expensive, because it"},{"speaker":"Dr. Douglas L. Beck","startTime":2115.7,"endTime":2118.67,"body":"wastes and because we can,"},{"speaker":"Dr. Douglas L. Beck","startTime":2118.85,"endTime":2121.19,"body":"there's some people who only"},{"speaker":"Dr. Douglas L. Beck","startTime":2118.85,"endTime":2121.19,"body":"need a little help, some need"},{"speaker":"Dr. Douglas L. Beck","startTime":2121.19,"endTime":2123.68,"body":"moderate, some need a lot. And"},{"speaker":"Dr. Douglas L. Beck","startTime":2121.19,"endTime":2123.68,"body":"if we can figure that out, which"},{"speaker":"Dr. Douglas L. Beck","startTime":2123.68,"endTime":2127.13,"body":"only takes about five minutes"},{"speaker":"Dr. Douglas L. Beck","startTime":2123.68,"endTime":2127.13,"body":"clinically, then we know exactly"},{"speaker":"Dr. Douglas L. Beck","startTime":2127.2799999999997,"endTime":2131.2999999999997,"body":"what their solution is. So and"},{"speaker":"Dr. Douglas L. Beck","startTime":2127.2799999999997,"endTime":2131.2999999999997,"body":"Dr. Delfino was talking about,"},{"speaker":"Dr. Douglas L. Beck","startTime":2131.48,"endTime":2134.48,"body":"you know, auditory processing"},{"speaker":"Dr. Douglas L. Beck","startTime":2131.48,"endTime":2134.48,"body":"disorders. And this is such an"},{"speaker":"Dr. Douglas L. Beck","startTime":2134.48,"endTime":2136.64,"body":"important concept because it's"},{"speaker":"Dr. Douglas L. Beck","startTime":2134.48,"endTime":2136.64,"body":"not just children, of course,"},{"speaker":"Dr. Douglas L. Beck","startTime":2136.64,"endTime":2140.96,"body":"it's adults as well. And and it"},{"speaker":"Dr. Douglas L. Beck","startTime":2136.64,"endTime":2140.96,"body":"brings up this big issue."},{"speaker":"Dr. Douglas L. Beck","startTime":2141.08,"endTime":2143.63,"body":"Remember, we talked a little"},{"speaker":"Dr. Douglas L. Beck","startTime":2141.08,"endTime":2143.63,"body":"while hearing is perceiving"},{"speaker":"Dr. Douglas L. Beck","startTime":2143.63,"endTime":2147.5299999999997,"body":"sound listening is making sense"},{"speaker":"Dr. Douglas L. Beck","startTime":2143.63,"endTime":2147.5299999999997,"body":"of sound. So there are so many"},{"speaker":"Dr. Douglas L. Beck","startTime":2147.5299999999997,"endTime":2151.0099999999998,"body":"people in the US that have"},{"speaker":"Dr. Douglas L. Beck","startTime":2147.5299999999997,"endTime":2151.0099999999998,"body":"hearing loss on an audiogram or"},{"speaker":"Dr. Douglas L. Beck","startTime":2151.0099999999998,"endTime":2153.41,"body":"a hearing test, there'll be"},{"speaker":"Dr. Douglas L. Beck","startTime":2151.0099999999998,"endTime":2153.41,"body":"about 38 million of them in the"},{"speaker":"Dr. Douglas L. Beck","startTime":2153.41,"endTime":2156.95,"body":"USA. But there's another 26"},{"speaker":"Dr. Douglas L. Beck","startTime":2153.41,"endTime":2156.95,"body":"million who have listening"},{"speaker":"Dr. Douglas L. Beck","startTime":2156.98,"endTime":2160.5499999999997,"body":"problems by listening problems."},{"speaker":"Dr. Douglas L. Beck","startTime":2156.98,"endTime":2160.5499999999997,"body":"I mean, things like traumatic"},{"speaker":"Dr. Douglas L. Beck","startTime":2160.5499999999997,"endTime":2164.1499999999996,"body":"brain injury, I mean, auditory"},{"speaker":"Dr. Douglas L. Beck","startTime":2160.5499999999997,"endTime":2164.1499999999996,"body":"processing disorders, auditory"},{"speaker":"Dr. Douglas L. Beck","startTime":2164.1499999999996,"endTime":2169.43,"body":"neuropathy spectrum disorder,"},{"speaker":"Dr. Douglas L. Beck","startTime":2164.1499999999996,"endTime":2169.43,"body":"ADD and ADHD and dyslexia,"},{"speaker":"Dr. Douglas L. Beck","startTime":2169.58,"endTime":2173.2999999999997,"body":"alzheimers disease, other"},{"speaker":"Dr. Douglas L. Beck","startTime":2169.58,"endTime":2173.2999999999997,"body":"neurocognitive disorders. And so"},{"speaker":"Dr. Douglas L. Beck","startTime":2173.2999999999997,"endTime":2176.6899999999996,"body":"some of these people, blast"},{"speaker":"Dr. Douglas L. Beck","startTime":2173.2999999999997,"endTime":2176.6899999999996,"body":"injury people, people that noise"},{"speaker":"Dr. Douglas L. Beck","startTime":2176.6899999999996,"endTime":2181.16,"body":"exposure, they may actually have"},{"speaker":"Dr. Douglas L. Beck","startTime":2176.6899999999996,"endTime":2181.16,"body":"no normal hearing on a pure tone"},{"speaker":"Dr. Douglas L. Beck","startTime":2181.16,"endTime":2184.7,"body":"test. But on the speech and"},{"speaker":"Dr. Douglas L. Beck","startTime":2181.16,"endTime":2184.7,"body":"noise test, 26 million of them"},{"speaker":"Dr. Douglas L. Beck","startTime":2185.0,"endTime":2187.3399999999997,"body":"will not do so well. They're"},{"speaker":"Dr. Douglas L. Beck","startTime":2185.0,"endTime":2187.3399999999997,"body":"going to show up with deficits,"},{"speaker":"Dr. Douglas L. Beck","startTime":2187.5499999999997,"endTime":2191.06,"body":"because they don't really need"},{"speaker":"Dr. Douglas L. Beck","startTime":2187.5499999999997,"endTime":2191.06,"body":"it louder. It needed clearer,"},{"speaker":"Dr. Douglas L. Beck","startTime":2191.33,"endTime":2195.95,"body":"which is the whole focus of some"},{"speaker":"Dr. Douglas L. Beck","startTime":2191.33,"endTime":2195.95,"body":"of these technologies and and it"},{"speaker":"Dr. Douglas L. Beck","startTime":2195.95,"endTime":2198.2599999999998,"body":"makes a world of difference in"},{"speaker":"Dr. Douglas L. Beck","startTime":2195.95,"endTime":2198.2599999999998,"body":"the patient's quality of life"},{"speaker":"Dr. Douglas L. Beck","startTime":2198.2599999999998,"endTime":2203.1499999999996,"body":"because then you're able to"},{"speaker":"Dr. Douglas L. Beck","startTime":2198.2599999999998,"endTime":2203.1499999999996,"body":"participate in in normal,"},{"speaker":"Dr. Douglas L. Beck","startTime":2203.18,"endTime":2206.7799999999997,"body":"healthy social situations. There"},{"speaker":"Dr. Douglas L. Beck","startTime":2203.18,"endTime":2206.7799999999997,"body":"was an amazing study that came"},{"speaker":"Dr. Douglas L. Beck","startTime":2206.7799999999997,"endTime":2212.06,"body":"out in 2013 in The Lancet and"},{"speaker":"Dr. Douglas L. Beck","startTime":2206.7799999999997,"endTime":2212.06,"body":"the Lancet is the world's"},{"speaker":"Dr. Douglas L. Beck","startTime":2212.06,"endTime":2215.0899999999997,"body":"foremost Medical Journal. Well,"},{"speaker":"Dr. Douglas L. Beck","startTime":2212.06,"endTime":2215.0899999999997,"body":"the authors of that were Dr."},{"speaker":"Dr. Douglas L. Beck","startTime":2215.0899999999997,"endTime":2218.5099999999998,"body":"Livingston and colleagues. And"},{"speaker":"Dr. Douglas L. Beck","startTime":2215.0899999999997,"endTime":2218.5099999999998,"body":"they were looking at what causes"},{"speaker":"Dr. Douglas L. Beck","startTime":2218.5099999999998,"endTime":2221.6,"body":"dementia. And they found that"},{"speaker":"Dr. Douglas L. Beck","startTime":2218.5099999999998,"endTime":2221.6,"body":"two thirds of your dementia risk"},{"speaker":"Dr. Douglas L. Beck","startTime":2221.6,"endTime":2226.1,"body":"is due to DNA, which is your"},{"speaker":"Dr. Douglas L. Beck","startTime":2221.6,"endTime":2226.1,"body":"deoxyribonucleic acid so that"},{"speaker":"Dr. Douglas L. Beck","startTime":2226.1299999999997,"endTime":2229.0099999999998,"body":"there's nothing you can do about"},{"speaker":"Dr. Douglas L. Beck","startTime":2226.1299999999997,"endTime":2229.0099999999998,"body":"that your DNA is your DNA. But"},{"speaker":"Dr. Douglas L. Beck","startTime":2229.0099999999998,"endTime":2232.7599999999998,"body":"one third of your risk is due to"},{"speaker":"Dr. Douglas L. Beck","startTime":2229.0099999999998,"endTime":2232.7599999999998,"body":"about nine factors, which"},{"speaker":"Dr. Douglas L. Beck","startTime":2232.7599999999998,"endTime":2235.9399999999996,"body":"includes things like hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":2232.7599999999998,"endTime":2235.9399999999996,"body":"loss and diabetes and alcohol"},{"speaker":"Dr. Douglas L. Beck","startTime":2235.9399999999996,"endTime":2239.6899999999996,"body":"abuse and drug addiction and"},{"speaker":"Dr. Douglas L. Beck","startTime":2235.9399999999996,"endTime":2239.6899999999996,"body":"less education and, and social"},{"speaker":"Dr. Douglas L. Beck","startTime":2239.6899999999996,"endTime":2243.4399999999996,"body":"isolation, things like that. So"},{"speaker":"Dr. Douglas L. Beck","startTime":2239.6899999999996,"endTime":2243.4399999999996,"body":"of all of those nine things,"},{"speaker":"Dr. Douglas L. Beck","startTime":2243.4399999999996,"endTime":2246.56,"body":"now, there's 12, they added"},{"speaker":"Dr. Douglas L. Beck","startTime":2243.4399999999996,"endTime":2246.56,"body":"three more things like smoking"},{"speaker":"Dr. Douglas L. Beck","startTime":2246.56,"endTime":2250.9399999999996,"body":"and air pollution, things like"},{"speaker":"Dr. Douglas L. Beck","startTime":2246.56,"endTime":2250.9399999999996,"body":"that. So of the 12, things that"},{"speaker":"Dr. Douglas L. Beck","startTime":2250.9399999999996,"endTime":2255.74,"body":"add to your dementia risk, the"},{"speaker":"Dr. Douglas L. Beck","startTime":2250.9399999999996,"endTime":2255.74,"body":"largest one is hearing loss. And"},{"speaker":"Dr. Douglas L. Beck","startTime":2255.8599999999997,"endTime":2259.73,"body":"how big is hearing loss in this"},{"speaker":"Dr. Douglas L. Beck","startTime":2255.8599999999997,"endTime":2259.73,"body":"realm? Well, it's 9%. So it's"},{"speaker":"Dr. Douglas L. Beck","startTime":2259.73,"endTime":2264.3199999999997,"body":"called PAF population"},{"speaker":"Dr. Douglas L. Beck","startTime":2259.73,"endTime":2264.3199999999997,"body":"attributable factor. So the PAF"},{"speaker":"Dr. Douglas L. Beck","startTime":2264.3199999999997,"endTime":2269.24,"body":"for hearing loss, as a precursor"},{"speaker":"Dr. Douglas L. Beck","startTime":2264.3199999999997,"endTime":2269.24,"body":"to dementia is about 9%. And"},{"speaker":"Dr. Douglas L. Beck","startTime":2269.24,"endTime":2271.6699999999996,"body":"that makes total sense with the"},{"speaker":"Dr. Douglas L. Beck","startTime":2269.24,"endTime":2271.6699999999996,"body":"peer reviewed literature on"},{"speaker":"Dr. Douglas L. Beck","startTime":2271.6699999999996,"endTime":2275.2099999999996,"body":"this. Not everybody with hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":2271.6699999999996,"endTime":2275.2099999999996,"body":"loss is going to have cognitive"},{"speaker":"Dr. Douglas L. Beck","startTime":2275.2099999999996,"endTime":2279.7099999999996,"body":"issues, and Dementia,most won't,"},{"speaker":"Dr. Douglas L. Beck","startTime":2275.2099999999996,"endTime":2279.7099999999996,"body":"some will. And if we catch it"},{"speaker":"Dr. Douglas L. Beck","startTime":2279.74,"endTime":2283.1299999999997,"body":"early enough that we treat it"},{"speaker":"Dr. Douglas L. Beck","startTime":2279.74,"endTime":2283.1299999999997,"body":"effectively, for those, those"},{"speaker":"Dr. Douglas L. Beck","startTime":2283.1299999999997,"endTime":2286.8799999999997,"body":"9%, for whom it might be a"},{"speaker":"Dr. Douglas L. Beck","startTime":2283.1299999999997,"endTime":2286.8799999999997,"body":"precursor to dementia, you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":2286.8799999999997,"endTime":2291.29,"body":"we can slow that path in many of"},{"speaker":"Dr. Douglas L. Beck","startTime":2286.8799999999997,"endTime":2291.29,"body":"them. So it's totally you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":2291.29,"endTime":2294.0499999999997,"body":"all new science. We've all been"},{"speaker":"Dr. Douglas L. Beck","startTime":2291.29,"endTime":2294.0499999999997,"body":"looking at this stuff seriously,"},{"speaker":"Dr. Douglas L. Beck","startTime":2294.3199999999997,"endTime":2296.81,"body":"for the last five or 10 years."},{"speaker":"Dr. Douglas L. Beck","startTime":2294.3199999999997,"endTime":2296.81,"body":"But it's extraordinarily"},{"speaker":"Dr. Douglas L. Beck","startTime":2296.81,"endTime":2299.3599999999997,"body":"productive. And it's very, very"},{"speaker":"Dr. Douglas L. Beck","startTime":2296.81,"endTime":2299.3599999999997,"body":"different. There are other"},{"speaker":"Dr. Douglas L. Beck","startTime":2299.3599999999997,"endTime":2304.73,"body":"studies, Dr. Otto Sharma and Dr."},{"speaker":"Dr. Douglas L. Beck","startTime":2299.3599999999997,"endTime":2304.73,"body":"Hannah Glick in University of"},{"speaker":"Dr. Douglas L. Beck","startTime":2304.73,"endTime":2308.06,"body":"Colorado, looked at people who"},{"speaker":"Dr. Douglas L. Beck","startTime":2304.73,"endTime":2308.06,"body":"had hearing loss, and they"},{"speaker":"Dr. Douglas L. Beck","startTime":2308.06,"endTime":2311.06,"body":"couldn't process sound very"},{"speaker":"Dr. Douglas L. Beck","startTime":2308.06,"endTime":2311.06,"body":"well. And then what they did"},{"speaker":"Dr. Douglas L. Beck","startTime":2311.0899999999997,"endTime":2314.27,"body":"even with myofascial system,"},{"speaker":"Dr. Douglas L. Beck","startTime":2311.0899999999997,"endTime":2314.27,"body":"with the same hearing aids, that"},{"speaker":"Dr. Douglas L. Beck","startTime":2314.99,"endTime":2318.4399999999996,"body":"the Dr Delfino and Blaise were"},{"speaker":"Dr. Douglas L. Beck","startTime":2314.99,"endTime":2318.4399999999996,"body":"using the OPN S1, and some of"},{"speaker":"Dr. Douglas L. Beck","startTime":2318.4399999999996,"endTime":2325.0099999999998,"body":"those people were able to have"},{"speaker":"Dr. Douglas L. Beck","startTime":2318.4399999999996,"endTime":2325.0099999999998,"body":"their brains return to the"},{"speaker":"Dr. Douglas L. Beck","startTime":2325.0099999999998,"endTime":2328.6099999999997,"body":"function that they had prior to"},{"speaker":"Dr. Douglas L. Beck","startTime":2325.0099999999998,"endTime":2328.6099999999997,"body":"hearing loss. Now, it's a big"},{"speaker":"Dr. Douglas L. Beck","startTime":2328.6099999999997,"endTime":2331.79,"body":"statement, and then there's a"},{"speaker":"Dr. Douglas L. Beck","startTime":2328.6099999999997,"endTime":2331.79,"body":"lot in there to unpack, but but"},{"speaker":"Dr. Douglas L. Beck","startTime":2331.79,"endTime":2332.5099999999998,"body":"it's called"},{"speaker":"Dr. Douglas L. Beck","startTime":2335.56,"endTime":2339.7,"body":"cross. I'm trying to think of a"},{"speaker":"Dr. Douglas L. Beck","startTime":2335.56,"endTime":2339.7,"body":"simple term for the so it's"},{"speaker":"Dr. Douglas L. Beck","startTime":2339.7,"endTime":2342.04,"body":"neuroplasticity, and maybe some"},{"speaker":"Dr. Douglas L. Beck","startTime":2339.7,"endTime":2342.04,"body":"of you're familiar with that."},{"speaker":"Dr. Douglas L. Beck","startTime":2342.04,"endTime":2345.31,"body":"But it's having brain changes"},{"speaker":"Dr. Douglas L. Beck","startTime":2342.04,"endTime":2345.31,"body":"over time, based on the"},{"speaker":"Dr. Douglas L. Beck","startTime":2345.31,"endTime":2348.58,"body":"stimulation. So when we talk"},{"speaker":"Dr. Douglas L. Beck","startTime":2345.31,"endTime":2348.58,"body":"about cortical neural"},{"speaker":"Dr. Douglas L. Beck","startTime":2348.58,"endTime":2351.7599999999998,"body":"plasticity, we're talking about"},{"speaker":"Dr. Douglas L. Beck","startTime":2348.58,"endTime":2351.7599999999998,"body":"how your brain responds, and how"},{"speaker":"Dr. Douglas L. Beck","startTime":2351.7599999999998,"endTime":2356.14,"body":"your brain changes based on the"},{"speaker":"Dr. Douglas L. Beck","startTime":2351.7599999999998,"endTime":2356.14,"body":"stimuli changing. So when you"},{"speaker":"Dr. Douglas L. Beck","startTime":2356.14,"endTime":2361.06,"body":"have hearing loss, your brain is"},{"speaker":"Dr. Douglas L. Beck","startTime":2356.14,"endTime":2361.06,"body":"stimulated as fully as it once"},{"speaker":"Dr. Douglas L. Beck","startTime":2361.06,"endTime":2364.6299999999997,"body":"was, with sound to your brain"},{"speaker":"Dr. Douglas L. Beck","startTime":2361.06,"endTime":2364.6299999999997,"body":"attached to that. So that could"},{"speaker":"Dr. Douglas L. Beck","startTime":2364.6299999999997,"endTime":2367.93,"body":"be a negative, cortical"},{"speaker":"Dr. Douglas L. Beck","startTime":2364.6299999999997,"endTime":2367.93,"body":"neuroplasticity, your brain is"},{"speaker":"Dr. Douglas L. Beck","startTime":2367.93,"endTime":2372.3999999999996,"body":"now using less sound, because it"},{"speaker":"Dr. Douglas L. Beck","startTime":2367.93,"endTime":2372.3999999999996,"body":"has less well, they found that"},{"speaker":"Dr. Douglas L. Beck","startTime":2372.3999999999996,"endTime":2375.1899999999996,"body":"by fitting hearing aids on some"},{"speaker":"Dr. Douglas L. Beck","startTime":2372.3999999999996,"endTime":2375.1899999999996,"body":"of these people, they could"},{"speaker":"Dr. Douglas L. Beck","startTime":2375.1899999999996,"endTime":2379.33,"body":"reverse that negative cortical"},{"speaker":"Dr. Douglas L. Beck","startTime":2375.1899999999996,"endTime":2379.33,"body":"neuroplasticity. So I know"},{"speaker":"Dr. Douglas L. Beck","startTime":2379.33,"endTime":2382.33,"body":"that's a little bit difficult. I"},{"speaker":"Dr. Douglas L. Beck","startTime":2379.33,"endTime":2382.33,"body":"have quite a few papers that"},{"speaker":"Dr. Douglas L. Beck","startTime":2382.33,"endTime":2386.35,"body":"I've written on that. And the"},{"speaker":"Dr. Douglas L. Beck","startTime":2382.33,"endTime":2386.35,"body":"easiest way to get a copy of"},{"speaker":"Dr. Douglas L. Beck","startTime":2386.35,"endTime":2391.27,"body":"what that's about. If you go to"},{"speaker":"Dr. Douglas L. Beck","startTime":2386.35,"endTime":2391.27,"body":"hearingreview.com and put in Anu"},{"speaker":"Dr. Douglas L. Beck","startTime":2391.2999999999997,"endTime":2395.4399999999996,"body":"Sharma,  A N U first name, and"},{"speaker":"Dr. Douglas L. Beck","startTime":2391.2999999999997,"endTime":2395.4399999999996,"body":"Dr. Sharma spells her last name"},{"speaker":"Dr. Douglas L. Beck","startTime":2395.4399999999996,"endTime":2399.49,"body":"S H A R M A, they'll pull up the"},{"speaker":"Dr. Douglas L. Beck","startTime":2395.4399999999996,"endTime":2399.49,"body":"interview I did was in February"},{"speaker":"Dr. Douglas L. Beck","startTime":2399.49,"endTime":2403.2099999999996,"body":"of 20, which is the same week"},{"speaker":"Dr. Douglas L. Beck","startTime":2399.49,"endTime":2403.2099999999996,"body":"that our peer reviewed article"},{"speaker":"Dr. Douglas L. Beck","startTime":2403.2099999999996,"endTime":2407.4399999999996,"body":"came out on that. And it talks"},{"speaker":"Dr. Douglas L. Beck","startTime":2403.2099999999996,"endTime":2407.4399999999996,"body":"about these cross modal effects"},{"speaker":"Dr. Douglas L. Beck","startTime":2407.4399999999996,"endTime":2411.31,"body":"and cross modal means when your"},{"speaker":"Dr. Douglas L. Beck","startTime":2407.4399999999996,"endTime":2411.31,"body":"brain is getting listed in"},{"speaker":"Dr. Douglas L. Beck","startTime":2411.31,"endTime":2415.18,"body":"relation, because of hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":2411.31,"endTime":2415.18,"body":"loss, the part that's not"},{"speaker":"Dr. Douglas L. Beck","startTime":2415.18,"endTime":2418.1499999999996,"body":"stimulated of your brain might"},{"speaker":"Dr. Douglas L. Beck","startTime":2415.18,"endTime":2418.1499999999996,"body":"be used by another function like"},{"speaker":"Dr. Douglas L. Beck","startTime":2418.1499999999996,"endTime":2421.6299999999997,"body":"vision. And if that happens, and"},{"speaker":"Dr. Douglas L. Beck","startTime":2418.1499999999996,"endTime":2421.6299999999997,"body":"if you're lucky enough to get"},{"speaker":"Dr. Douglas L. Beck","startTime":2421.6299999999997,"endTime":2425.3199999999997,"body":"fit early, that could reverse"},{"speaker":"Dr. Douglas L. Beck","startTime":2421.6299999999997,"endTime":2425.3199999999997,"body":"back to all auditory. So the"},{"speaker":"Dr. Douglas L. Beck","startTime":2425.3199999999997,"endTime":2427.87,"body":"brain, the parts of the brain"},{"speaker":"Dr. Douglas L. Beck","startTime":2425.3199999999997,"endTime":2427.87,"body":"that we're supposed to use the"},{"speaker":"Dr. Douglas L. Beck","startTime":2427.87,"endTime":2431.47,"body":"auditory sound, get to do that,"},{"speaker":"Dr. Douglas L. Beck","startTime":2427.87,"endTime":2431.47,"body":"again, in many people can't"},{"speaker":"Dr. Douglas L. Beck","startTime":2431.47,"endTime":2434.3199999999997,"body":"promise can't guarantee. But we"},{"speaker":"Dr. Douglas L. Beck","startTime":2431.47,"endTime":2434.3199999999997,"body":"can say that there's a lot of"},{"speaker":"Dr. Douglas L. Beck","startTime":2434.3199999999997,"endTime":2437.2599999999998,"body":"positive studies that have shown"},{"speaker":"Dr. Douglas L. Beck","startTime":2434.3199999999997,"endTime":2437.2599999999998,"body":"these types of effects. And"},{"speaker":"Dr. Douglas L. Beck","startTime":2437.2599999999998,"endTime":2440.47,"body":"that's what we're going for when"},{"speaker":"Dr. Douglas L. Beck","startTime":2437.2599999999998,"endTime":2440.47,"body":"we talk about fitting brains"},{"speaker":"Dr. Douglas L. Beck","startTime":2440.47,"endTime":2444.49,"body":"scientifically, using real ear"},{"speaker":"Dr. Douglas L. Beck","startTime":2440.47,"endTime":2444.49,"body":"measures, maintaining aural"},{"speaker":"Dr. Douglas L. Beck","startTime":2444.49,"endTime":2446.83,"body":"tightness differences,"},{"speaker":"Dr. Douglas L. Beck","startTime":2444.49,"endTime":2446.83,"body":"maintaining inter-aural timing"},{"speaker":"Dr. Douglas L. Beck","startTime":2446.83,"endTime":2449.62,"body":"differences, giving the brain"},{"speaker":"Dr. Douglas L. Beck","startTime":2446.83,"endTime":2449.62,"body":"the full complement of sounds,"},{"speaker":"Dr. Douglas L. Beck","startTime":2449.7999999999997,"endTime":2453.5499999999997,"body":"we start to allow some of these"},{"speaker":"Dr. Douglas L. Beck","startTime":2449.7999999999997,"endTime":2453.5499999999997,"body":"things to occur naturally and to"},{"speaker":"Dr. Douglas L. Beck","startTime":2453.5499999999997,"endTime":2456.3999999999996,"body":"stimulate the brain in a more"},{"speaker":"Dr. Douglas L. Beck","startTime":2453.5499999999997,"endTime":2456.3999999999996,"body":"natural way. So the brain is"},{"speaker":"Dr. Douglas L. Beck","startTime":2456.3999999999996,"endTime":2458.5899999999997,"body":"better able to use the"},{"speaker":"Dr. Douglas L. Beck","startTime":2456.3999999999996,"endTime":2458.5899999999997,"body":"information that it's getting."},{"speaker":"Blaise Delfino","startTime":2458.7799999999997,"endTime":2461.4199999999996,"body":"well and again,"},{"speaker":"Blaise Delfino","startTime":2458.7799999999997,"endTime":2461.4199999999996,"body":"it's it's the signal coming in"},{"speaker":"Blaise Delfino","startTime":2461.45,"endTime":2463.9399999999996,"body":"Dr. Delfino If you want to"},{"speaker":"Blaise Delfino","startTime":2461.45,"endTime":2463.9399999999996,"body":"dovetail off off Dr. Back,"},{"speaker":"Dr. Gregory Delfino","startTime":2464.1899999999996,"endTime":2466.62,"body":"what what"},{"speaker":"Dr. Gregory Delfino","startTime":2464.1899999999996,"endTime":2466.62,"body":"you've said Dr. Beck is is"},{"speaker":"Dr. Gregory Delfino","startTime":2466.62,"endTime":2471.2999999999997,"body":"incredibly true to form just"},{"speaker":"Dr. Gregory Delfino","startTime":2466.62,"endTime":2471.2999999999997,"body":"even in our own practice. We"},{"speaker":"Dr. Gregory Delfino","startTime":2471.2999999999997,"endTime":2476.1899999999996,"body":"have been experimenting with"},{"speaker":"Dr. Gregory Delfino","startTime":2471.2999999999997,"endTime":2476.1899999999996,"body":"adults that have experienced"},{"speaker":"Dr. Gregory Delfino","startTime":2476.1899999999996,"endTime":2478.7099999999996,"body":"exactly that they've got"},{"speaker":"Dr. Gregory Delfino","startTime":2476.1899999999996,"endTime":2478.7099999999996,"body":"essentially normal hearing, but"},{"speaker":"Dr. Gregory Delfino","startTime":2478.74,"endTime":2481.6499999999996,"body":"speech and noise they struggle"},{"speaker":"Dr. Gregory Delfino","startTime":2478.74,"endTime":2481.6499999999996,"body":"with and they've come to our"},{"speaker":"Dr. Gregory Delfino","startTime":2481.6499999999996,"endTime":2485.1899999999996,"body":"clinic asking for help, and"},{"speaker":"Dr. Gregory Delfino","startTime":2481.6499999999996,"endTime":2485.1899999999996,"body":"they're tired of hearing what"},{"speaker":"Dr. Gregory Delfino","startTime":2485.1899999999996,"endTime":2488.1299999999997,"body":"you're hearing is normal, and"},{"speaker":"Dr. Gregory Delfino","startTime":2485.1899999999996,"endTime":2488.1299999999997,"body":"there's nothing there's nothing"},{"speaker":"Dr. Gregory Delfino","startTime":2488.1299999999997,"endTime":2492.0899999999997,"body":"else that we can do to see the"},{"speaker":"Dr. Gregory Delfino","startTime":2488.1299999999997,"endTime":2492.0899999999997,"body":"impact that these instruments"},{"speaker":"Dr. Gregory Delfino","startTime":2492.0899999999997,"endTime":2495.4199999999996,"body":"have made on these people's"},{"speaker":"Dr. Gregory Delfino","startTime":2492.0899999999997,"endTime":2495.4199999999996,"body":"lives is mind blowing. We've had"},{"speaker":"Dr. Gregory Delfino","startTime":2495.4199999999996,"endTime":2498.75,"body":"many a tearful session, because"},{"speaker":"Dr. Gregory Delfino","startTime":2495.4199999999996,"endTime":2498.75,"body":"it's the first time someone has"},{"speaker":"Dr. Gregory Delfino","startTime":2498.75,"endTime":2503.0699999999997,"body":"heard what they've said we've"},{"speaker":"Dr. Gregory Delfino","startTime":2498.75,"endTime":2503.0699999999997,"body":"made an attempt to remediate"},{"speaker":"Dr. Gregory Delfino","startTime":2503.0699999999997,"endTime":2506.7,"body":"what was going on and for many,"},{"speaker":"Dr. Gregory Delfino","startTime":2503.0699999999997,"endTime":2506.7,"body":"the results have been incredible"},{"speaker":"Dr. Gregory Delfino","startTime":2506.7,"endTime":2511.4399999999996,"body":"and your explanation of this is"},{"speaker":"Dr. Gregory Delfino","startTime":2506.7,"endTime":2511.4399999999996,"body":"is wonderfully in depth. And I"},{"speaker":"Dr. Gregory Delfino","startTime":2511.4399999999996,"endTime":2515.31,"body":"think a lot of people are going"},{"speaker":"Dr. Gregory Delfino","startTime":2511.4399999999996,"endTime":2515.31,"body":"to be able to benefit and enjoy"},{"speaker":"Dr. Gregory Delfino","startTime":2515.58,"endTime":2516.75,"body":"further exploration"},{"speaker":"Dr. Douglas L. Beck","startTime":2516.47,"endTime":2518.6899999999996,"body":"That's"},{"speaker":"Dr. Douglas L. Beck","startTime":2516.47,"endTime":2518.6899999999996,"body":"fantastic. I appreciate that."},{"speaker":"Dr. Douglas L. Beck","startTime":2518.6899999999996,"endTime":2521.3599999999997,"body":"And I, I think that you know"},{"speaker":"Dr. Douglas L. Beck","startTime":2518.6899999999996,"endTime":2521.3599999999997,"body":"what happens, your clinic is the"},{"speaker":"Dr. Douglas L. Beck","startTime":2521.3599999999997,"endTime":2524.6899999999996,"body":"most important thing what we do"},{"speaker":"Dr. Douglas L. Beck","startTime":2521.3599999999997,"endTime":2524.6899999999996,"body":"in research labs. And when we go"},{"speaker":"Dr. Douglas L. Beck","startTime":2524.6899999999996,"endTime":2526.6099999999997,"body":"through peer reviewed paper,"},{"speaker":"Dr. Douglas L. Beck","startTime":2524.6899999999996,"endTime":2526.6099999999997,"body":"they do something called a"},{"speaker":"Dr. Douglas L. Beck","startTime":2526.6099999999997,"endTime":2530.1499999999996,"body":"scoping review. That's very"},{"speaker":"Dr. Douglas L. Beck","startTime":2526.6099999999997,"endTime":2530.1499999999996,"body":"important. But that doesn't help"},{"speaker":"Dr. Douglas L. Beck","startTime":2530.1499999999996,"endTime":2532.97,"body":"an individual, the individual is"},{"speaker":"Dr. Douglas L. Beck","startTime":2530.1499999999996,"endTime":2532.97,"body":"helped when they come to the"},{"speaker":"Dr. Douglas L. Beck","startTime":2532.97,"endTime":2535.52,"body":"office, and they get to try"},{"speaker":"Dr. Douglas L. Beck","startTime":2532.97,"endTime":2535.52,"body":"these technologies. That's where"},{"speaker":"Dr. Douglas L. Beck","startTime":2535.52,"endTime":2538.64,"body":"the rubber meets the road. And"},{"speaker":"Dr. Douglas L. Beck","startTime":2535.52,"endTime":2538.64,"body":"that's where reality starts to,"},{"speaker":"Dr. Douglas L. Beck","startTime":2539.1499999999996,"endTime":2542.18,"body":"you know, really matter. You"},{"speaker":"Dr. Douglas L. Beck","startTime":2539.1499999999996,"endTime":2542.18,"body":"know, we can talk about these"},{"speaker":"Dr. Douglas L. Beck","startTime":2542.18,"endTime":2545.06,"body":"studies till the cows come home,"},{"speaker":"Dr. Douglas L. Beck","startTime":2542.18,"endTime":2545.06,"body":"but until you hear it and you"},{"speaker":"Dr. Douglas L. Beck","startTime":2545.06,"endTime":2547.91,"body":"can actually listen to the"},{"speaker":"Dr. Douglas L. Beck","startTime":2545.06,"endTime":2547.91,"body":"difference in your own ability"},{"speaker":"Dr. Douglas L. Beck","startTime":2547.91,"endTime":2551.48,"body":"to understand speech and noise."},{"speaker":"Dr. Douglas L. Beck","startTime":2547.91,"endTime":2551.48,"body":"It's just a concept. But once"},{"speaker":"Dr. Douglas L. Beck","startTime":2551.48,"endTime":2553.4599999999996,"body":"you once you've heard it, it"},{"speaker":"Dr. Douglas L. Beck","startTime":2551.48,"endTime":2553.4599999999996,"body":"becomes reality."},{"speaker":"Blaise Delfino","startTime":2554.24,"endTime":2557.2999999999997,"body":"Doug, On today's"},{"speaker":"Blaise Delfino","startTime":2554.24,"endTime":2557.2999999999997,"body":"episode, we talked about"},{"speaker":"Blaise Delfino","startTime":2557.2999999999997,"endTime":2561.23,"body":"cognition, audition, and"},{"speaker":"Blaise Delfino","startTime":2557.2999999999997,"endTime":2561.23,"body":"amplification. And again, I"},{"speaker":"Blaise Delfino","startTime":2561.23,"endTime":2564.3199999999997,"body":"can't thank you enough for"},{"speaker":"Blaise Delfino","startTime":2561.23,"endTime":2564.3199999999997,"body":"coming on the hearing matters"},{"speaker":"Blaise Delfino","startTime":2564.3199999999997,"endTime":2568.2799999999997,"body":"podcast and sharing your wealth"},{"speaker":"Blaise Delfino","startTime":2564.3199999999997,"endTime":2568.2799999999997,"body":"of knowledge again, between you"},{"speaker":"Blaise Delfino","startTime":2568.2799999999997,"endTime":2572.7799999999997,"body":"and my father, Dr. Delfino, I"},{"speaker":"Blaise Delfino","startTime":2568.2799999999997,"endTime":2572.7799999999997,"body":"feel like I'm in such I'm so"},{"speaker":"Blaise Delfino","startTime":2572.7799999999997,"endTime":2576.5299999999997,"body":"grateful for the position I'm in"},{"speaker":"Blaise Delfino","startTime":2572.7799999999997,"endTime":2576.5299999999997,"body":"because I get to learn from the"},{"speaker":"Blaise Delfino","startTime":2576.5299999999997,"endTime":2580.04,"body":"industry experts, and that"},{"speaker":"Blaise Delfino","startTime":2576.5299999999997,"endTime":2580.04,"body":"allows us at audiology services"},{"speaker":"Blaise Delfino","startTime":2580.04,"endTime":2584.8399999999997,"body":"to better serve our patients."},{"speaker":"Blaise Delfino","startTime":2580.04,"endTime":2584.8399999999997,"body":"Now, Doug, in closing, why is it"},{"speaker":"Blaise Delfino","startTime":2584.8399999999997,"endTime":2589.52,"body":"so important for our patients to"},{"speaker":"Blaise Delfino","startTime":2584.8399999999997,"endTime":2589.52,"body":"visit our office for annual"},{"speaker":"Blaise Delfino","startTime":2589.52,"endTime":2593.8399999999997,"body":"hearing evaluations? Again, I"},{"speaker":"Blaise Delfino","startTime":2589.52,"endTime":2593.8399999999997,"body":"think this entire episode sums"},{"speaker":"Blaise Delfino","startTime":2593.8399999999997,"endTime":2596.81,"body":"that up with decreasing"},{"speaker":"Blaise Delfino","startTime":2593.8399999999997,"endTime":2596.81,"body":"listening effort and increasing"},{"speaker":"Blaise Delfino","startTime":2596.81,"endTime":2601.73,"body":"speech intelligibility. But as"},{"speaker":"Blaise Delfino","startTime":2596.81,"endTime":2601.73,"body":"we come into 2021, and as we"},{"speaker":"Blaise Delfino","startTime":2601.73,"endTime":2605.48,"body":"enter this new year, why is it"},{"speaker":"Blaise Delfino","startTime":2601.73,"endTime":2605.48,"body":"going to be so important for"},{"speaker":"Blaise Delfino","startTime":2605.66,"endTime":2609.2599999999998,"body":"patients, whether they're"},{"speaker":"Blaise Delfino","startTime":2605.66,"endTime":2609.2599999999998,"body":"current users or future hearing"},{"speaker":"Blaise Delfino","startTime":2609.2599999999998,"endTime":2611.39,"body":"aid users to go and get their"},{"speaker":"Blaise Delfino","startTime":2609.2599999999998,"endTime":2611.39,"body":"hearing tested?"},{"speaker":"Dr. Douglas L. Beck","startTime":2612.2099999999996,"endTime":2614.0699999999997,"body":"You know,"},{"speaker":"Dr. Douglas L. Beck","startTime":2612.2099999999996,"endTime":2614.0699999999997,"body":"that's a really interesting"},{"speaker":"Dr. Douglas L. Beck","startTime":2614.0699999999997,"endTime":2618.06,"body":"question, the average time it"},{"speaker":"Dr. Douglas L. Beck","startTime":2614.0699999999997,"endTime":2618.06,"body":"takes between somebody noticing"},{"speaker":"Dr. Douglas L. Beck","startTime":2618.06,"endTime":2620.7,"body":"they have a hearing loss, and"},{"speaker":"Dr. Douglas L. Beck","startTime":2618.06,"endTime":2620.7,"body":"doing something about it, we"},{"speaker":"Dr. Douglas L. Beck","startTime":2620.7,"endTime":2622.9199999999996,"body":"used to think it was seven"},{"speaker":"Dr. Douglas L. Beck","startTime":2620.7,"endTime":2622.9199999999996,"body":"years. That's not right, it's 10"},{"speaker":"Dr. Douglas L. Beck","startTime":2622.9199999999996,"endTime":2625.5299999999997,"body":"years, there's peer reviewed"},{"speaker":"Dr. Douglas L. Beck","startTime":2622.9199999999996,"endTime":2625.5299999999997,"body":"literature that's come out yeah,"},{"speaker":"Dr. Douglas L. Beck","startTime":2625.56,"endTime":2627.66,"body":"it just came out about six"},{"speaker":"Dr. Douglas L. Beck","startTime":2625.56,"endTime":2627.66,"body":"months ago, eight months ago,"},{"speaker":"Dr. Douglas L. Beck","startTime":2627.9599999999996,"endTime":2630.87,"body":"saying that they revisited that"},{"speaker":"Dr. Douglas L. Beck","startTime":2627.9599999999996,"endTime":2630.87,"body":"seven year concept, and it's"},{"speaker":"Dr. Douglas L. Beck","startTime":2630.87,"endTime":2633.93,"body":"about 10 years, from the time"},{"speaker":"Dr. Douglas L. Beck","startTime":2630.87,"endTime":2633.93,"body":"someone notices a hearing loss"},{"speaker":"Dr. Douglas L. Beck","startTime":2633.93,"endTime":2637.6499999999996,"body":"until they do something about"},{"speaker":"Dr. Douglas L. Beck","startTime":2633.93,"endTime":2637.6499999999996,"body":"it. So this is really important"},{"speaker":"Dr. Douglas L. Beck","startTime":2637.68,"endTime":2642.6899999999996,"body":"is for all of us to understand"},{"speaker":"Dr. Douglas L. Beck","startTime":2637.68,"endTime":2642.6899999999996,"body":"that it changes so slowly that"},{"speaker":"Dr. Douglas L. Beck","startTime":2642.6899999999996,"endTime":2646.14,"body":"we can't perceive the change,"},{"speaker":"Dr. Douglas L. Beck","startTime":2642.6899999999996,"endTime":2646.14,"body":"it's very common for people to"},{"speaker":"Dr. Douglas L. Beck","startTime":2646.14,"endTime":2648.18,"body":"come in and say, Well, I don't"},{"speaker":"Dr. Douglas L. Beck","startTime":2646.14,"endTime":2648.18,"body":"even have hearing loss, you"},{"speaker":"Dr. Douglas L. Beck","startTime":2648.18,"endTime":2650.5499999999997,"body":"know, it's just people mumble."},{"speaker":"Dr. Douglas L. Beck","startTime":2648.18,"endTime":2650.5499999999997,"body":"And, you know, we've heard all"},{"speaker":"Dr. Douglas L. Beck","startTime":2650.5499999999997,"endTime":2652.74,"body":"of this before, and then we test"},{"speaker":"Dr. Douglas L. Beck","startTime":2650.5499999999997,"endTime":2652.74,"body":"them and son of a gun, they"},{"speaker":"Dr. Douglas L. Beck","startTime":2652.74,"endTime":2655.1099999999997,"body":"absolutely do have hearing loss,"},{"speaker":"Dr. Douglas L. Beck","startTime":2652.74,"endTime":2655.1099999999997,"body":"but they're not aware of it."},{"speaker":"Dr. Douglas L. Beck","startTime":2655.4399999999996,"endTime":2658.02,"body":"Because it happens so slowly."},{"speaker":"Dr. Douglas L. Beck","startTime":2655.4399999999996,"endTime":2658.02,"body":"And while it's happening, your"},{"speaker":"Dr. Douglas L. Beck","startTime":2658.02,"endTime":2661.62,"body":"brain is adapting to it. So I"},{"speaker":"Dr. Douglas L. Beck","startTime":2658.02,"endTime":2661.62,"body":"think it's important that once"},{"speaker":"Dr. Douglas L. Beck","startTime":2661.62,"endTime":2663.9599999999996,"body":"you know you have hearing loss,"},{"speaker":"Dr. Douglas L. Beck","startTime":2661.62,"endTime":2663.9599999999996,"body":"and once you're wearing hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":2663.9599999999996,"endTime":2667.83,"body":"aids, you should go in once a"},{"speaker":"Dr. Douglas L. Beck","startTime":2663.9599999999996,"endTime":2667.83,"body":"year and get a check, because it"},{"speaker":"Dr. Douglas L. Beck","startTime":2667.83,"endTime":2670.2,"body":"was a tiny change, you're not"},{"speaker":"Dr. Douglas L. Beck","startTime":2667.83,"endTime":2670.2,"body":"going to know about it most"},{"speaker":"Dr. Douglas L. Beck","startTime":2670.2,"endTime":2673.08,"body":"likely. And if there is a tiny"},{"speaker":"Dr. Douglas L. Beck","startTime":2670.2,"endTime":2673.08,"body":"change, then it can be"},{"speaker":"Dr. Douglas L. Beck","startTime":2673.08,"endTime":2676.29,"body":"documented. And it's Dr. Delfino"},{"speaker":"Dr. Douglas L. Beck","startTime":2673.08,"endTime":2676.29,"body":"feels that it's something that"},{"speaker":"Dr. Douglas L. Beck","startTime":2676.29,"endTime":2679.3199999999997,"body":"needs medical attention, he'll"},{"speaker":"Dr. Douglas L. Beck","startTime":2676.29,"endTime":2679.3199999999997,"body":"refer for that. But by the same"},{"speaker":"Dr. Douglas L. Beck","startTime":2679.3199999999997,"endTime":2682.2599999999998,"body":"token, he may say, you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":2679.3199999999997,"endTime":2682.2599999999998,"body":"with this little change, it"},{"speaker":"Dr. Douglas L. Beck","startTime":2682.2599999999998,"endTime":2684.87,"body":"doesn't look dangerous at all."},{"speaker":"Dr. Douglas L. Beck","startTime":2682.2599999999998,"endTime":2684.87,"body":"However, let me change the"},{"speaker":"Dr. Douglas L. Beck","startTime":2684.87,"endTime":2686.6099999999997,"body":"hearing aid a little bit,"},{"speaker":"Dr. Douglas L. Beck","startTime":2684.87,"endTime":2686.6099999999997,"body":"because it might, it might"},{"speaker":"Dr. Douglas L. Beck","startTime":2686.6099999999997,"endTime":2689.2799999999997,"body":"improve it even more for you."},{"speaker":"Dr. Douglas L. Beck","startTime":2686.6099999999997,"endTime":2689.2799999999997,"body":"Because we have seen a little"},{"speaker":"Dr. Douglas L. Beck","startTime":2689.2799999999997,"endTime":2692.0699999999997,"body":"change in your hearing. Now"},{"speaker":"Dr. Douglas L. Beck","startTime":2689.2799999999997,"endTime":2692.0699999999997,"body":"this, you know, it's always a"},{"speaker":"Dr. Douglas L. Beck","startTime":2692.0699999999997,"endTime":2695.7,"body":"qualitative thing, we can never"},{"speaker":"Dr. Douglas L. Beck","startTime":2692.0699999999997,"endTime":2695.7,"body":"promise or show somebody that"},{"speaker":"Dr. Douglas L. Beck","startTime":2695.7,"endTime":2698.37,"body":"they've got to come in, in 12"},{"speaker":"Dr. Douglas L. Beck","startTime":2695.7,"endTime":2698.37,"body":"months, it could be six months,"},{"speaker":"Dr. Douglas L. Beck","startTime":2698.37,"endTime":2701.25,"body":"it could be 18 months, but the"},{"speaker":"Dr. Douglas L. Beck","startTime":2698.37,"endTime":2701.25,"body":"most important thing is patient"},{"speaker":"Dr. Douglas L. Beck","startTime":2701.25,"endTime":2704.73,"body":"notices change, absolutely come"},{"speaker":"Dr. Douglas L. Beck","startTime":2701.25,"endTime":2704.73,"body":"in and get a check. And even if"},{"speaker":"Dr. Douglas L. Beck","startTime":2704.73,"endTime":2707.25,"body":"they don't, you really should"},{"speaker":"Dr. Douglas L. Beck","startTime":2704.73,"endTime":2707.25,"body":"come in annually, much like you"},{"speaker":"Dr. Douglas L. Beck","startTime":2707.25,"endTime":2712.7999999999997,"body":"know, once. Once you are an"},{"speaker":"Dr. Douglas L. Beck","startTime":2707.25,"endTime":2712.7999999999997,"body":"adult, you should get your eyes"},{"speaker":"Dr. Douglas L. Beck","startTime":2712.7999999999997,"endTime":2715.08,"body":"checked every year, you should"},{"speaker":"Dr. Douglas L. Beck","startTime":2712.7999999999997,"endTime":2715.08,"body":"get your hearing checked every"},{"speaker":"Dr. Douglas L. Beck","startTime":2715.08,"endTime":2717.39,"body":"year, you should get teeth"},{"speaker":"Dr. Douglas L. Beck","startTime":2715.08,"endTime":2717.39,"body":"checked every year, you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":2717.39,"endTime":2721.9199999999996,"body":"because slight changes can mean"},{"speaker":"Dr. Douglas L. Beck","startTime":2717.39,"endTime":2721.9199999999996,"body":"important changes. And you can't"},{"speaker":"Dr. Douglas L. Beck","startTime":2721.9199999999996,"endTime":2724.3199999999997,"body":"always be aware of it, you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":2721.9199999999996,"endTime":2724.3199999999997,"body":"it's hard to know that you've"},{"speaker":"Dr. Douglas L. Beck","startTime":2724.3199999999997,"endTime":2727.98,"body":"got a cavity developing, until"},{"speaker":"Dr. Douglas L. Beck","startTime":2724.3199999999997,"endTime":2727.98,"body":"it really hurts, right? And then"},{"speaker":"Dr. Douglas L. Beck","startTime":2727.98,"endTime":2730.83,"body":"it's too late, you've got a"},{"speaker":"Dr. Douglas L. Beck","startTime":2727.98,"endTime":2730.83,"body":"cavity. Now, it's kind of the"},{"speaker":"Dr. Douglas L. Beck","startTime":2730.83,"endTime":2733.47,"body":"same thing with hearing in with"},{"speaker":"Dr. Douglas L. Beck","startTime":2730.83,"endTime":2733.47,"body":"vision, you know, when you first"},{"speaker":"Dr. Douglas L. Beck","startTime":2733.47,"endTime":2736.02,"body":"start to wear reading glasses,"},{"speaker":"Dr. Douglas L. Beck","startTime":2733.47,"endTime":2736.02,"body":"which pretty much everybody"},{"speaker":"Dr. Douglas L. Beck","startTime":2736.02,"endTime":2739.5899999999997,"body":"needs by the time they're 45 or"},{"speaker":"Dr. Douglas L. Beck","startTime":2736.02,"endTime":2739.5899999999997,"body":"50. There's some people who are"},{"speaker":"Dr. Douglas L. Beck","startTime":2739.5899999999997,"endTime":2743.04,"body":"52-53. And they say, Oh, I can"},{"speaker":"Dr. Douglas L. Beck","startTime":2739.5899999999997,"endTime":2743.04,"body":"be fine, but then they put on"},{"speaker":"Dr. Douglas L. Beck","startTime":2743.04,"endTime":2745.83,"body":"glasses and they say Holy cow,"},{"speaker":"Dr. Douglas L. Beck","startTime":2743.04,"endTime":2745.83,"body":"why didn't I do this 10 years"},{"speaker":"Dr. Douglas L. Beck","startTime":2745.83,"endTime":2748.1699999999996,"body":"earlier, right? Because, you"},{"speaker":"Dr. Douglas L. Beck","startTime":2745.83,"endTime":2748.1699999999996,"body":"know, they're getting used to"},{"speaker":"Dr. Douglas L. Beck","startTime":2748.1699999999996,"endTime":2751.3199999999997,"body":"it. And they can maybe focus"},{"speaker":"Dr. Douglas L. Beck","startTime":2748.1699999999996,"endTime":2751.3199999999997,"body":"just enough to read, but it's"},{"speaker":"Dr. Douglas L. Beck","startTime":2751.3199999999997,"endTime":2754.5,"body":"really effortful. And when they"},{"speaker":"Dr. Douglas L. Beck","startTime":2751.3199999999997,"endTime":2754.5,"body":"put on a pair of reading glasses"},{"speaker":"Dr. Douglas L. Beck","startTime":2754.5,"endTime":2756.8399999999997,"body":"for the first time, it's like,"},{"speaker":"Dr. Douglas L. Beck","startTime":2754.5,"endTime":2756.8399999999997,"body":"wow, I should have done this 10"},{"speaker":"Dr. Douglas L. Beck","startTime":2756.8399999999997,"endTime":2759.33,"body":"years earlier. And it's the same"},{"speaker":"Dr. Douglas L. Beck","startTime":2756.8399999999997,"endTime":2759.33,"body":"with hearing aids, you know,"},{"speaker":"Dr. Douglas L. Beck","startTime":2759.33,"endTime":2762.24,"body":"it's just, we get used to"},{"speaker":"Dr. Douglas L. Beck","startTime":2759.33,"endTime":2762.24,"body":"things, and we don't think about"},{"speaker":"Dr. Douglas L. Beck","startTime":2762.24,"endTime":2764.9399999999996,"body":"it anymore. But yeah, I think"},{"speaker":"Dr. Douglas L. Beck","startTime":2762.24,"endTime":2764.9399999999996,"body":"it's important, particularly"},{"speaker":"Dr. Douglas L. Beck","startTime":2764.9399999999996,"endTime":2768.1499999999996,"body":"once you know, if you have a"},{"speaker":"Dr. Douglas L. Beck","startTime":2764.9399999999996,"endTime":2768.1499999999996,"body":"hearing loss is keep an eye on"},{"speaker":"Dr. Douglas L. Beck","startTime":2768.33,"endTime":2770.4599999999996,"body":"because you know, it could"},{"speaker":"Dr. Douglas L. Beck","startTime":2768.33,"endTime":2770.4599999999996,"body":"change and you may not notice"},{"speaker":"Dr. Douglas L. Beck","startTime":2770.4599999999996,"endTime":2773.3999999999996,"body":"it. And then if you know it"},{"speaker":"Dr. Douglas L. Beck","startTime":2770.4599999999996,"endTime":2773.3999999999996,"body":"could be a medical issue,"},{"speaker":"Dr. Douglas L. Beck","startTime":2773.3999999999996,"endTime":2777.81,"body":"chances are it's not but it"},{"speaker":"Dr. Douglas L. Beck","startTime":2773.3999999999996,"endTime":2777.81,"body":"could be and when you go to a"},{"speaker":"Dr. Douglas L. Beck","startTime":2777.81,"endTime":2780.12,"body":"practice, you know, like"},{"speaker":"Dr. Douglas L. Beck","startTime":2777.81,"endTime":2780.12,"body":"audiology services, they're"},{"speaker":"Dr. Douglas L. Beck","startTime":2780.12,"endTime":2782.7,"body":"gonna do a diagnostic test make"},{"speaker":"Dr. Douglas L. Beck","startTime":2780.12,"endTime":2782.7,"body":"sure that everything's okay if"},{"speaker":"Dr. Douglas L. Beck","startTime":2782.7,"endTime":2785.1899999999996,"body":"it's okay, great. just adjust"},{"speaker":"Dr. Douglas L. Beck","startTime":2782.7,"endTime":2785.1899999999996,"body":"the hearing aids or not depends"},{"speaker":"Dr. Douglas L. Beck","startTime":2785.1899999999996,"endTime":2788.5499999999997,"body":"on how big a change and and what"},{"speaker":"Dr. Douglas L. Beck","startTime":2785.1899999999996,"endTime":2788.5499999999997,"body":"the patient's perception of that"},{"speaker":"Dr. Douglas L. Beck","startTime":2788.5499999999997,"endTime":2791.3999999999996,"body":"is. But if there is a dangerous"},{"speaker":"Dr. Douglas L. Beck","startTime":2788.5499999999997,"endTime":2791.3999999999996,"body":"change, and of course we want to"},{"speaker":"Dr. Douglas L. Beck","startTime":2791.3999999999996,"endTime":2795.6899999999996,"body":"refer as quickly as possible,"},{"speaker":"Dr. Douglas L. Beck","startTime":2791.3999999999996,"endTime":2795.6899999999996,"body":"and let an Otolarynologist do an"},{"speaker":"Dr. Douglas L. Beck","startTime":2795.6899999999996,"endTime":2797.2799999999997,"body":"evaluation to make sure"},{"speaker":"Dr. Douglas L. Beck","startTime":2795.6899999999996,"endTime":2797.2799999999997,"body":"everything's okay."},{"speaker":"Blaise Delfino","startTime":2797.3399999999997,"endTime":2799.14,"body":"Absolutely"},{"speaker":"Blaise Delfino","startTime":2797.3399999999997,"endTime":2799.14,"body":"preventative health care. Right,"},{"speaker":"Blaise Delfino","startTime":2799.14,"endTime":2802.1699999999996,"body":"Doug, we get our eyes checked"},{"speaker":"Blaise Delfino","startTime":2799.14,"endTime":2802.1699999999996,"body":"and our teeth cleaned. Let's get"},{"speaker":"Blaise Delfino","startTime":2802.1699999999996,"endTime":2803.79,"body":"our hearing evaluated."},{"speaker":"Dr. Douglas L. Beck","startTime":2804.5699999999997,"endTime":2806.3999999999996,"body":"Absolutely."},{"speaker":"Dr. Douglas L. Beck","startTime":2804.5699999999997,"endTime":2806.3999999999996,"body":"It's much much easier to"},{"speaker":"Dr. Douglas L. Beck","startTime":2806.3999999999996,"endTime":2808.14,"body":"maintain health than to repair"},{"speaker":"Dr. Douglas L. Beck","startTime":2806.3999999999996,"endTime":2808.14,"body":"health."},{"speaker":"Blaise Delfino","startTime":2808.47,"endTime":2811.29,"body":"Doug, Dr"},{"speaker":"Blaise Delfino","startTime":2808.47,"endTime":2811.29,"body":"Delfino, and the Entire hearing"},{"speaker":"Blaise Delfino","startTime":2811.29,"endTime":2814.23,"body":"matters team just want to thank"},{"speaker":"Blaise Delfino","startTime":2811.29,"endTime":2814.23,"body":"you so much for dedicating this"},{"speaker":"Blaise Delfino","startTime":2814.23,"endTime":2817.2,"body":"time for sharing your wealth of"},{"speaker":"Blaise Delfino","startTime":2814.23,"endTime":2817.2,"body":"knowledge and again in joining"},{"speaker":"Blaise Delfino","startTime":2817.2,"endTime":2820.35,"body":"us on our journey to raise"},{"speaker":"Blaise Delfino","startTime":2817.2,"endTime":2820.35,"body":"awareness of overall hearing"},{"speaker":"Blaise Delfino","startTime":2820.35,"endTime":2820.98,"body":"health care."},{"speaker":"Dr. Douglas L. Beck","startTime":2821.22,"endTime":2822.99,"body":"Absolutely."},{"speaker":"Dr. Douglas L. Beck","startTime":2821.22,"endTime":2822.99,"body":"Listen, it's a joy working with"},{"speaker":"Dr. Douglas L. Beck","startTime":2822.99,"endTime":2824.64,"body":"you guys and I look forward to"},{"speaker":"Dr. Douglas L. Beck","startTime":2822.99,"endTime":2824.64,"body":"the next time."},{"speaker":"Blaise Delfino","startTime":2825.2099999999996,"endTime":2827.1,"body":"Ladies and"},{"speaker":"Blaise Delfino","startTime":2825.2099999999996,"endTime":2827.1,"body":"gentlemen,You're tuned into the"},{"speaker":"Blaise Delfino","startTime":2827.1,"endTime":2831.1499999999996,"body":"Hearing Matters Podcast with Dr."},{"speaker":"Blaise Delfino","startTime":2827.1,"endTime":2831.1499999999996,"body":"Gregory Delfino, Blaise Delfino"},{"speaker":"Blaise Delfino","startTime":2831.1499999999996,"endTime":2835.14,"body":"and our special guest, Dr. Doug"},{"speaker":"Blaise Delfino","startTime":2831.1499999999996,"endTime":2835.14,"body":"Beck, who is the Vice President"},{"speaker":"Blaise Delfino","startTime":2835.1699999999996,"endTime":2839.7599999999998,"body":"of Academic Sciences at Oticon."},{"speaker":"Blaise Delfino","startTime":2835.1699999999996,"endTime":2839.7599999999998,"body":"Until next time, Hear Life's"},{"speaker":"Blaise Delfino","startTime":2839.7599999999998,"endTime":2840.18,"body":"Story!"}]}