{"version":"1.0.0","segments":[{"speaker":"Blaise Delfino","startTime":6.57,"endTime":8.94,"body":"You're tuned"},{"speaker":"Blaise Delfino","startTime":6.57,"endTime":8.94,"body":"into the Hearing Matters Podcast"},{"speaker":"Blaise Delfino","startTime":8.94,"endTime":13.05,"body":"with Dr. Gregory Delfino, and"},{"speaker":"Blaise Delfino","startTime":8.94,"endTime":13.05,"body":"Blaise Delfino of Audiology"},{"speaker":"Blaise Delfino","startTime":13.05,"endTime":16.8,"body":"Services and Fader Plugs, the"},{"speaker":"Blaise Delfino","startTime":13.05,"endTime":16.8,"body":"show that discusses hearing"},{"speaker":"Blaise Delfino","startTime":16.8,"endTime":21.63,"body":"technology, best practices, and"},{"speaker":"Blaise Delfino","startTime":16.8,"endTime":21.63,"body":"a growing national epidemic:"},{"speaker":"Blaise Delfino","startTime":21.93,"endTime":25.26,"body":"hearing loss. If you joined us"},{"speaker":"Blaise Delfino","startTime":21.93,"endTime":25.26,"body":"last week, we had the VP of"},{"speaker":"Blaise Delfino","startTime":25.26,"endTime":29.7,"body":"Academic Sciences at Oticon Dr."},{"speaker":"Blaise Delfino","startTime":25.26,"endTime":29.7,"body":"Douglas Beck, and he is joining"},{"speaker":"Blaise Delfino","startTime":29.7,"endTime":33.24,"body":"us again this week. We are so"},{"speaker":"Blaise Delfino","startTime":29.7,"endTime":33.24,"body":"happy to have him back, and we"},{"speaker":"Blaise Delfino","startTime":33.24,"endTime":38.01,"body":"will be discussing cognition,"},{"speaker":"Blaise Delfino","startTime":33.24,"endTime":38.01,"body":"audition and amplification. Dr."},{"speaker":"Blaise Delfino","startTime":38.01,"endTime":40.11,"body":"Beck, welcome back to the"},{"speaker":"Blaise Delfino","startTime":38.01,"endTime":40.11,"body":"Hearing Matters Podcast."},{"speaker":"Dr. Douglas L. Beck","startTime":40.11,"endTime":41.7,"body":"Thank you,"},{"speaker":"Dr. Douglas L. Beck","startTime":40.11,"endTime":41.7,"body":"Blaise, it's a pleasure to be"},{"speaker":"Dr. Douglas L. Beck","startTime":41.7,"endTime":41.91,"body":"here."},{"speaker":"Blaise Delfino","startTime":42.0,"endTime":44.79,"body":"It is so so"},{"speaker":"Blaise Delfino","startTime":42.0,"endTime":44.79,"body":"awesome to have you back on the"},{"speaker":"Blaise Delfino","startTime":44.79,"endTime":48.15,"body":"show, for lack of a better term."},{"speaker":"Blaise Delfino","startTime":44.79,"endTime":48.15,"body":"Dr. Beck, cognition, audition"},{"speaker":"Blaise Delfino","startTime":48.15,"endTime":52.08,"body":"and amplification, what is the"},{"speaker":"Blaise Delfino","startTime":48.15,"endTime":52.08,"body":"connection between all three?"},{"speaker":"Dr. Douglas L. Beck","startTime":52.0,"endTime":53.8,"body":"Well, the"},{"speaker":"Dr. Douglas L. 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Beck","startTime":206.83,"endTime":210.73,"body":"njury, could be dyslexia, could"},{"speaker":"Dr. Douglas L. Beck","startTime":206.83,"endTime":210.73,"body":"e Alzheimer's disease, could be"},{"speaker":"Dr. Douglas L. Beck","startTime":210.76,"endTime":215.02,"body":"million things that have"},{"speaker":"Dr. Douglas L. Beck","startTime":210.76,"endTime":215.02,"body":"mpacted a patient's ability to"},{"speaker":"Dr. Douglas L. Beck","startTime":215.02,"endTime":218.02,"body":"nderstand speech and noise, but"},{"speaker":"Dr. Douglas L. Beck","startTime":215.02,"endTime":218.02,"body":"ave not impacted their hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":218.02,"endTime":218.56,"body":"hresholds."},{"speaker":"Blaise Delfino","startTime":218.63,"endTime":223.4,"body":"Dr. Beck you"},{"speaker":"Blaise Delfino","startTime":218.63,"endTime":223.4,"body":"interviewed Dr. Anu Sharma, and"},{"speaker":"Blaise Delfino","startTime":223.43,"endTime":227.6,"body":"this was an interview that was"},{"speaker":"Blaise Delfino","startTime":223.43,"endTime":227.6,"body":"released in February of 2020."},{"speaker":"Blaise Delfino","startTime":227.6,"endTime":230.06,"body":"Discussing cross modal"},{"speaker":"Blaise Delfino","startTime":227.6,"endTime":230.06,"body":"recruitment."},{"speaker":"Dr. Douglas L. Beck","startTime":230.09,"endTime":230.48,"body":"Right."},{"speaker":"Blaise Delfino","startTime":230.66,"endTime":233.72,"body":"Can you share"},{"speaker":"Blaise Delfino","startTime":230.66,"endTime":233.72,"body":"with our listeners exactly what"},{"speaker":"Blaise Delfino","startTime":233.72,"endTime":237.92,"body":"Dr. Sharma was researching what"},{"speaker":"Blaise Delfino","startTime":233.72,"endTime":237.92,"body":"she found, and how her findings"},{"speaker":"Blaise Delfino","startTime":237.92,"endTime":241.73,"body":"related to cognition audition"},{"speaker":"Blaise Delfino","startTime":237.92,"endTime":241.73,"body":"and amplification because Dr."},{"speaker":"Blaise Delfino","startTime":241.73,"endTime":244.97,"body":"Delfino here at Audiology"},{"speaker":"Blaise Delfino","startTime":241.73,"endTime":244.97,"body":"Services, he will also work with"},{"speaker":"Blaise Delfino","startTime":244.97,"endTime":247.61,"body":"patients who present with normal"},{"speaker":"Blaise Delfino","startTime":244.97,"endTime":247.61,"body":"hearing, but difficulty"},{"speaker":"Blaise Delfino","startTime":247.61,"endTime":251.36,"body":"understanding speech and noise"},{"speaker":"Blaise Delfino","startTime":247.61,"endTime":251.36,"body":"but these findings that Dr."},{"speaker":"Blaise Delfino","startTime":251.36,"endTime":253.46,"body":"Sharma released incredible"},{"speaker":"Blaise Delfino","startTime":251.36,"endTime":253.46,"body":"stuff."},{"speaker":"Dr. Douglas L. Beck","startTime":253.44,"endTime":255.18,"body":"Incredible"},{"speaker":"Dr. Douglas L. Beck","startTime":253.44,"endTime":255.18,"body":"stuff. So a couple of references"},{"speaker":"Dr. Douglas L. Beck","startTime":255.18,"endTime":258.9,"body":"first, the stuff that Dr. Anu"},{"speaker":"Dr. Douglas L. Beck","startTime":255.18,"endTime":258.9,"body":"Sharma published is in"},{"speaker":"Dr. Douglas L. Beck","startTime":258.9,"endTime":261.33,"body":"conjunction with Dr. Hannah"},{"speaker":"Dr. Douglas L. Beck","startTime":258.9,"endTime":261.33,"body":"Glick. So I always like to make"},{"speaker":"Dr. Douglas L. Beck","startTime":261.33,"endTime":264.09,"body":"sure Hannah gets credit to their"},{"speaker":"Dr. Douglas L. Beck","startTime":261.33,"endTime":264.09,"body":"original publication was in"},{"speaker":"Dr. Douglas L. Beck","startTime":264.09,"endTime":267.27,"body":"frontiers of neuroscience, which"},{"speaker":"Dr. Douglas L. Beck","startTime":264.09,"endTime":267.27,"body":"came out in February 2020. Now,"},{"speaker":"Dr. Douglas L. Beck","startTime":267.27,"endTime":269.55,"body":"as a friend of both of them, I"},{"speaker":"Dr. Douglas L. Beck","startTime":267.27,"endTime":269.55,"body":"knew ahead of time that"},{"speaker":"Dr. Douglas L. Beck","startTime":269.55,"endTime":272.34,"body":"publication was coming out so I"},{"speaker":"Dr. Douglas L. Beck","startTime":269.55,"endTime":272.34,"body":"got a preprint. So that's how"},{"speaker":"Dr. Douglas L. Beck","startTime":272.34,"endTime":276.18,"body":"come in February 2020, we also"},{"speaker":"Dr. Douglas L. Beck","startTime":272.34,"endTime":276.18,"body":"publish the interview in hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":276.18,"endTime":278.76,"body":"review, so they kind of came out"},{"speaker":"Dr. Douglas L. Beck","startTime":276.18,"endTime":278.76,"body":"at the same time we give them"},{"speaker":"Dr. Douglas L. Beck","startTime":278.76,"endTime":281.16,"body":"about a 30 day head start and"},{"speaker":"Dr. Douglas L. Beck","startTime":278.76,"endTime":281.16,"body":"then we publish the interview."},{"speaker":"Dr. Douglas L. Beck","startTime":281.46,"endTime":285.21,"body":"The thing that was so amazing is"},{"speaker":"Dr. Douglas L. Beck","startTime":281.46,"endTime":285.21,"body":"a studied cross modal"},{"speaker":"Dr. Douglas L. Beck","startTime":285.24,"endTime":289.02,"body":"neuroplastic changes. So what"},{"speaker":"Dr. Douglas L. Beck","startTime":285.24,"endTime":289.02,"body":"that means, if I have a full"},{"speaker":"Dr. Douglas L. Beck","startTime":289.02,"endTime":291.54,"body":"complement of hearing like a"},{"speaker":"Dr. Douglas L. Beck","startTime":289.02,"endTime":291.54,"body":"normal healthy person with a"},{"speaker":"Dr. Douglas L. Beck","startTime":291.54,"endTime":294.0,"body":"normal healthy brain, so my"},{"speaker":"Dr. Douglas L. Beck","startTime":291.54,"endTime":294.0,"body":"brain is getting the full"},{"speaker":"Dr. Douglas L. Beck","startTime":294.0,"endTime":296.64,"body":"complement of sounds that humans"},{"speaker":"Dr. Douglas L. Beck","startTime":294.0,"endTime":296.64,"body":"can perceive which is 20 hertz"},{"speaker":"Dr. Douglas L. Beck","startTime":296.64,"endTime":300.54,"body":"to 20,000 hertz easy peasy. Bu"},{"speaker":"Dr. Douglas L. Beck","startTime":296.64,"endTime":300.54,"body":"as I get older and older, as"},{"speaker":"Dr. Douglas L. Beck","startTime":300.54,"endTime":303.93,"body":"I have more and more negati"},{"speaker":"Dr. Douglas L. Beck","startTime":300.54,"endTime":303.93,"body":"e events happen in my life, I lo"},{"speaker":"Dr. Douglas L. Beck","startTime":303.93,"endTime":306.81,"body":"e hearing. That's called a"},{"speaker":"Dr. Douglas L. Beck","startTime":303.93,"endTime":306.81,"body":"e related hearing loss. It occu"},{"speaker":"Dr. Douglas L. 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Beck","startTime":544.14,"endTime":547.56,"body":"n the occipital lobe. So what"},{"speaker":"Dr. Douglas L. Beck","startTime":547.56,"endTime":550.62,"body":"appened was they saw changes it"},{"speaker":"Dr. Douglas L. Beck","startTime":547.56,"endTime":550.62,"body":"eflected the brain was going"},{"speaker":"Dr. Douglas L. Beck","startTime":550.62,"endTime":553.65,"body":"ack to its original"},{"speaker":"Dr. Douglas L. Beck","startTime":550.62,"endTime":553.65,"body":"resentation mode across"},{"speaker":"Dr. Douglas L. Beck","startTime":553.68,"endTime":557.31,"body":"ultiple centers, including the"},{"speaker":"Dr. Douglas L. Beck","startTime":553.68,"endTime":557.31,"body":"ccipital lobe and the temporal"},{"speaker":"Dr. Douglas L. Beck","startTime":557.31,"endTime":557.58,"body":"obes."},{"speaker":"Blaise Delfino","startTime":557.63,"endTime":559.97,"body":"Dr. Beck, you"},{"speaker":"Blaise Delfino","startTime":557.63,"endTime":559.97,"body":"report that you don't really"},{"speaker":"Blaise Delfino","startTime":559.97,"endTime":564.44,"body":"believe in administering hearing"},{"speaker":"Blaise Delfino","startTime":559.97,"endTime":564.44,"body":"screenings and I believe Dr."},{"speaker":"Blaise Delfino","startTime":564.44,"endTime":567.86,"body":"Delfino will definitely agree"},{"speaker":"Blaise Delfino","startTime":564.44,"endTime":567.86,"body":"with your philosophy. Why should"},{"speaker":"Blaise Delfino","startTime":567.89,"endTime":571.79,"body":"audiological evaluations be"},{"speaker":"Blaise Delfino","startTime":567.89,"endTime":571.79,"body":"conducted versus a hearing"},{"speaker":"Blaise Delfino","startTime":571.79,"endTime":576.5,"body":"screening where you just screen"},{"speaker":"Blaise Delfino","startTime":571.79,"endTime":576.5,"body":"500, 1, 2, and 4000 hertz?"},{"speaker":"Dr. Douglas L. Beck","startTime":576.57,"endTime":578.31,"body":"Well, we've"},{"speaker":"Dr. Douglas L. Beck","startTime":576.57,"endTime":578.31,"body":"been pushing that rock uphill"},{"speaker":"Dr. Douglas L. Beck","startTime":578.31,"endTime":581.37,"body":"for about 75 years. We started"},{"speaker":"Dr. Douglas L. Beck","startTime":578.31,"endTime":581.37,"body":"in World War Two saying"},{"speaker":"Dr. Douglas L. Beck","startTime":581.37,"endTime":583.83,"body":"everybody needs to be screened."},{"speaker":"Dr. Douglas L. Beck","startTime":581.37,"endTime":583.83,"body":"And of course, it's a pure tone"},{"speaker":"Dr. Douglas L. Beck","startTime":583.83,"endTime":585.51,"body":"screening and of course, press"},{"speaker":"Dr. Douglas L. Beck","startTime":583.83,"endTime":585.51,"body":"the button when you hear the"},{"speaker":"Dr. Douglas L. Beck","startTime":585.51,"endTime":588.12,"body":"beep or whatever we're going to"},{"speaker":"Dr. Douglas L. Beck","startTime":585.51,"endTime":588.12,"body":"do. That has been remarkably"},{"speaker":"Dr. Douglas L. Beck","startTime":588.24,"endTime":591.18,"body":"insensitive to finding people"},{"speaker":"Dr. Douglas L. Beck","startTime":588.24,"endTime":591.18,"body":"with hearing loss. And the"},{"speaker":"Dr. Douglas L. Beck","startTime":591.18,"endTime":594.06,"body":"reason for that is it's not"},{"speaker":"Dr. Douglas L. Beck","startTime":591.18,"endTime":594.06,"body":"generally done in a soundproof"},{"speaker":"Dr. Douglas L. Beck","startTime":594.09,"endTime":596.91,"body":"booth. It's not done with"},{"speaker":"Dr. Douglas L. Beck","startTime":594.09,"endTime":596.91,"body":"headphones. It's not done with"},{"speaker":"Dr. Douglas L. Beck","startTime":596.91,"endTime":599.07,"body":"good instructions. It's a quick"},{"speaker":"Dr. Douglas L. Beck","startTime":596.91,"endTime":599.07,"body":"on the fly sort of thing and"},{"speaker":"Dr. Douglas L. Beck","startTime":599.07,"endTime":601.29,"body":"you're gone. When you talk about"},{"speaker":"Dr. Douglas L. Beck","startTime":599.07,"endTime":601.29,"body":"screening, you're trying to"},{"speaker":"Dr. Douglas L. Beck","startTime":601.29,"endTime":603.6,"body":"maximize bang for the buck, or"},{"speaker":"Dr. Douglas L. Beck","startTime":601.29,"endTime":603.6,"body":"you're not charging at all."},{"speaker":"Dr. Douglas L. Beck","startTime":603.6,"endTime":605.4,"body":"You're just quick screening."},{"speaker":"Dr. Douglas L. Beck","startTime":603.6,"endTime":605.4,"body":"Let's see if grandpa has a"},{"speaker":"Dr. Douglas L. Beck","startTime":605.4,"endTime":607.89,"body":"problem. Well, that's not likely"},{"speaker":"Dr. Douglas L. Beck","startTime":605.4,"endTime":607.89,"body":"to determine the answer. If you"},{"speaker":"Dr. Douglas L. Beck","startTime":607.89,"endTime":609.75,"body":"look at the peer reviewed"},{"speaker":"Dr. Douglas L. Beck","startTime":607.89,"endTime":609.75,"body":"literature from the American"},{"speaker":"Dr. Douglas L. Beck","startTime":609.75,"endTime":611.76,"body":"Speech Language Hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":609.75,"endTime":611.76,"body":"Association, children who were"},{"speaker":"Dr. Douglas L. Beck","startTime":611.76,"endTime":615.51,"body":"screened in schools, it's about"},{"speaker":"Dr. Douglas L. Beck","startTime":611.76,"endTime":615.51,"body":"50% sensitivity, it's not a very"},{"speaker":"Dr. Douglas L. Beck","startTime":615.51,"endTime":618.09,"body":"good protocol. And that's with,"},{"speaker":"Dr. Douglas L. Beck","startTime":615.51,"endTime":618.09,"body":"you know, school nurses and"},{"speaker":"Dr. Douglas L. Beck","startTime":618.09,"endTime":620.82,"body":"school audiologists doing it,"},{"speaker":"Dr. Douglas L. Beck","startTime":618.09,"endTime":620.82,"body":"because there's just too many"},{"speaker":"Dr. Douglas L. Beck","startTime":620.88,"endTime":623.52,"body":"areas where errors can occur."},{"speaker":"Dr. Douglas L. Beck","startTime":620.88,"endTime":623.52,"body":"Now, there are some screenings"},{"speaker":"Dr. Douglas L. Beck","startTime":623.55,"endTime":626.43,"body":"that I totally endorse, number"},{"speaker":"Dr. Douglas L. Beck","startTime":623.55,"endTime":626.43,"body":"one, universal newborn hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":626.43,"endTime":630.39,"body":"screenings, 99% of all children"},{"speaker":"Dr. Douglas L. Beck","startTime":626.43,"endTime":630.39,"body":"born in birthing centers and"},{"speaker":"Dr. Douglas L. Beck","startTime":630.39,"endTime":633.09,"body":"hospitals in the USA, and mom"},{"speaker":"Dr. Douglas L. Beck","startTime":630.39,"endTime":633.09,"body":"and dad probably don't know"},{"speaker":"Dr. Douglas L. Beck","startTime":633.09,"endTime":636.39,"body":"this, but the kid was screened"},{"speaker":"Dr. Douglas L. Beck","startTime":633.09,"endTime":636.39,"body":"for hearing loss at birth. And"},{"speaker":"Dr. Douglas L. Beck","startTime":636.39,"endTime":638.4,"body":"we've been doing that for about"},{"speaker":"Dr. Douglas L. Beck","startTime":636.39,"endTime":638.4,"body":"25 years now. And that's"},{"speaker":"Dr. Douglas L. Beck","startTime":638.4,"endTime":640.26,"body":"brilliant and that's very"},{"speaker":"Dr. Douglas L. Beck","startTime":638.4,"endTime":640.26,"body":"important, because when we"},{"speaker":"Dr. Douglas L. Beck","startTime":640.26,"endTime":642.66,"body":"discovered children with hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":640.26,"endTime":642.66,"body":"loss, we need to get"},{"speaker":"Dr. Douglas L. Beck","startTime":642.69,"endTime":646.11,"body":"amplification to their brain as"},{"speaker":"Dr. Douglas L. Beck","startTime":642.69,"endTime":646.11,"body":"soon as possible. The ear is a"},{"speaker":"Dr. Douglas L. Beck","startTime":646.11,"endTime":649.26,"body":"window to the brain. And if the"},{"speaker":"Dr. Douglas L. Beck","startTime":646.11,"endTime":649.26,"body":"child does not have that window"},{"speaker":"Dr. Douglas L. Beck","startTime":649.26,"endTime":652.02,"body":"open, we're not getting sensory"},{"speaker":"Dr. Douglas L. Beck","startTime":649.26,"endTime":652.02,"body":"information to the brain, the"},{"speaker":"Dr. Douglas L. Beck","startTime":652.02,"endTime":654.42,"body":"brain can't develop when it"},{"speaker":"Dr. Douglas L. Beck","startTime":652.02,"endTime":654.42,"body":"doesn't have information. So"},{"speaker":"Dr. Douglas L. Beck","startTime":654.45,"endTime":656.46,"body":"universal newborn hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":654.45,"endTime":656.46,"body":"screening is absolutely"},{"speaker":"Dr. Douglas L. Beck","startTime":656.46,"endTime":658.71,"body":"brilliant, started at the"},{"speaker":"Dr. Douglas L. Beck","startTime":656.46,"endTime":658.71,"body":"University of Colorado and"},{"speaker":"Dr. Douglas L. Beck","startTime":658.71,"endTime":661.2,"body":"brilliant, brilliant stuff. So"},{"speaker":"Dr. Douglas L. Beck","startTime":658.71,"endTime":661.2,"body":"I'm so happy about that. I'm"},{"speaker":"Dr. Douglas L. Beck","startTime":661.2,"endTime":663.54,"body":"also a big fan of cognitive"},{"speaker":"Dr. Douglas L. Beck","startTime":661.2,"endTime":663.54,"body":"screening. I think this is very"},{"speaker":"Dr. Douglas L. Beck","startTime":663.54,"endTime":666.42,"body":"important because we have people"},{"speaker":"Dr. Douglas L. Beck","startTime":663.54,"endTime":666.42,"body":"with supra threshold listening"},{"speaker":"Dr. Douglas L. Beck","startTime":666.42,"endTime":669.81,"body":"disorders. And it's just as"},{"speaker":"Dr. Douglas L. Beck","startTime":666.42,"endTime":669.81,"body":"likely to be due to an auditory"},{"speaker":"Dr. Douglas L. Beck","startTime":669.81,"endTime":672.48,"body":"processing issue as it is to be"},{"speaker":"Dr. Douglas L. Beck","startTime":669.81,"endTime":672.48,"body":"from a neurocognitive issue."},{"speaker":"Dr. Douglas L. Beck","startTime":672.48,"endTime":674.79,"body":"Because when you think about the"},{"speaker":"Dr. Douglas L. Beck","startTime":672.48,"endTime":674.79,"body":"older patients that we mostly"},{"speaker":"Dr. Douglas L. Beck","startTime":674.79,"endTime":677.7,"body":"take care of, I mean, hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":674.79,"endTime":677.7,"body":"loss occurs in people at birth,"},{"speaker":"Dr. Douglas L. Beck","startTime":677.7,"endTime":679.98,"body":"it could be any age, but in"},{"speaker":"Dr. Douglas L. Beck","startTime":677.7,"endTime":679.98,"body":"general, it's older folks that"},{"speaker":"Dr. Douglas L. Beck","startTime":679.98,"endTime":684.33,"body":"we're taking care of. And when"},{"speaker":"Dr. Douglas L. Beck","startTime":679.98,"endTime":684.33,"body":"we have somebody 70, 75, 80, 85"},{"speaker":"Dr. Douglas L. Beck","startTime":684.33,"endTime":686.88,"body":"90, and they can't understand"},{"speaker":"Dr. Douglas L. Beck","startTime":684.33,"endTime":686.88,"body":"speech noise, well, that could"},{"speaker":"Dr. Douglas L. Beck","startTime":686.88,"endTime":688.65,"body":"be hearing and it could be"},{"speaker":"Dr. Douglas L. Beck","startTime":686.88,"endTime":688.65,"body":"listening."},{"speaker":"Blaise Delfino","startTime":688.68,"endTime":689.37,"body":"Absolutely."},{"speaker":"Dr. Douglas L. Beck","startTime":689.54,"endTime":691.4,"body":"It could"},{"speaker":"Dr. Douglas L. Beck","startTime":689.54,"endTime":691.4,"body":"also be lots of other things"},{"speaker":"Dr. Douglas L. Beck","startTime":691.4,"endTime":694.52,"body":"that we mentioned earlier. Just"},{"speaker":"Dr. Douglas L. Beck","startTime":691.4,"endTime":694.52,"body":"a quick review. It could be mild"},{"speaker":"Dr. Douglas L. Beck","startTime":694.52,"endTime":696.95,"body":"cognitive impairment could be"},{"speaker":"Dr. Douglas L. Beck","startTime":694.52,"endTime":696.95,"body":"neurocognitive disorders could"},{"speaker":"Dr. Douglas L. Beck","startTime":696.95,"endTime":700.37,"body":"be dementia, could be traumatic"},{"speaker":"Dr. Douglas L. Beck","startTime":696.95,"endTime":700.37,"body":"brain injury, that they had 40"},{"speaker":"Dr. Douglas L. Beck","startTime":700.37,"endTime":702.92,"body":"years ago, could be from"},{"speaker":"Dr. Douglas L. Beck","startTime":700.37,"endTime":702.92,"body":"meniere's disease, it could be"},{"speaker":"Dr. Douglas L. Beck","startTime":702.92,"endTime":706.07,"body":"from Alzheimers, it could be"},{"speaker":"Dr. Douglas L. Beck","startTime":702.92,"endTime":706.07,"body":"from Frontotemporal dementia, it"},{"speaker":"Dr. Douglas L. Beck","startTime":706.07,"endTime":708.89,"body":"could be from cochlear"},{"speaker":"Dr. Douglas L. Beck","startTime":706.07,"endTime":708.89,"body":"synaptopathy, it could be from"},{"speaker":"Dr. Douglas L. Beck","startTime":708.89,"endTime":711.74,"body":"hidden hearing loss, it could be"},{"speaker":"Dr. Douglas L. Beck","startTime":708.89,"endTime":711.74,"body":"from a million things that you"},{"speaker":"Dr. Douglas L. Beck","startTime":711.74,"endTime":714.74,"body":"don't have hearing loss, yet"},{"speaker":"Dr. Douglas L. Beck","startTime":711.74,"endTime":714.74,"body":"your brain is able to process"},{"speaker":"Dr. Douglas L. Beck","startTime":714.74,"endTime":716.9,"body":"out and what's the number one"},{"speaker":"Dr. Douglas L. Beck","startTime":714.74,"endTime":716.9,"body":"thing we do and this becomes"},{"speaker":"Dr. Douglas L. Beck","startTime":716.9,"endTime":719.42,"body":"apparent when you think about"},{"speaker":"Dr. Douglas L. Beck","startTime":716.9,"endTime":719.42,"body":"children, children with APD"},{"speaker":"Dr. Douglas L. Beck","startTime":719.42,"endTime":722.57,"body":"auditory processing disorders,"},{"speaker":"Dr. Douglas L. Beck","startTime":719.42,"endTime":722.57,"body":"in general have no hearing loss."},{"speaker":"Dr. Douglas L. Beck","startTime":722.75,"endTime":725.93,"body":"What they can't do well, is take"},{"speaker":"Dr. Douglas L. Beck","startTime":722.75,"endTime":725.93,"body":"the sounds they're perceiving"},{"speaker":"Dr. Douglas L. Beck","startTime":725.93,"endTime":728.99,"body":"and apply meaning to it. So what"},{"speaker":"Dr. Douglas L. Beck","startTime":725.93,"endTime":728.99,"body":"audiologists have been doing for"},{"speaker":"Dr. Douglas L. Beck","startTime":728.99,"endTime":732.2,"body":"over 50 years is we give them FM"},{"speaker":"Dr. Douglas L. Beck","startTime":728.99,"endTime":732.2,"body":"systems, or we give them hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":732.2,"endTime":734.57,"body":"aids or we give them some sort"},{"speaker":"Dr. Douglas L. Beck","startTime":732.2,"endTime":734.57,"body":"of assistive listening device,"},{"speaker":"Dr. Douglas L. Beck","startTime":734.57,"endTime":738.38,"body":"perhaps a pocket talker, so"},{"speaker":"Dr. Douglas L. Beck","startTime":734.57,"endTime":738.38,"body":"their brain understands what to"},{"speaker":"Dr. Douglas L. Beck","startTime":738.38,"endTime":740.99,"body":"focus on. And there are studies"},{"speaker":"Dr. Douglas L. Beck","startTime":738.38,"endTime":740.99,"body":"out of Australia that say if you"},{"speaker":"Dr. Douglas L. Beck","startTime":740.99,"endTime":744.2,"body":"effectively manage auditory"},{"speaker":"Dr. Douglas L. Beck","startTime":740.99,"endTime":744.2,"body":"processing disorders in children"},{"speaker":"Dr. Douglas L. Beck","startTime":744.2,"endTime":746.75,"body":"for a couple of years, pretty"},{"speaker":"Dr. Douglas L. Beck","startTime":744.2,"endTime":746.75,"body":"soon the child no longer needs"},{"speaker":"Dr. Douglas L. Beck","startTime":746.75,"endTime":749.69,"body":"that tool, because their brain"},{"speaker":"Dr. Douglas L. Beck","startTime":746.75,"endTime":749.69,"body":"because it's neuroplastic has"},{"speaker":"Dr. Douglas L. Beck","startTime":749.69,"endTime":752.42,"body":"learned what to pay attention"},{"speaker":"Dr. Douglas L. Beck","startTime":749.69,"endTime":752.42,"body":"to. So when a child with"},{"speaker":"Dr. Douglas L. Beck","startTime":752.45,"endTime":755.63,"body":"auditory processing disorders,"},{"speaker":"Dr. Douglas L. Beck","startTime":752.45,"endTime":755.63,"body":"is treated with an FM system or"},{"speaker":"Dr. Douglas L. Beck","startTime":755.63,"endTime":757.97,"body":"hearing aids or something like"},{"speaker":"Dr. Douglas L. Beck","startTime":755.63,"endTime":757.97,"body":"that. That's what they need"},{"speaker":"Dr. Douglas L. Beck","startTime":757.97,"endTime":761.03,"body":"right now to help their brain"},{"speaker":"Dr. Douglas L. Beck","startTime":757.97,"endTime":761.03,"body":"improve the signal to noise"},{"speaker":"Dr. Douglas L. Beck","startTime":761.03,"endTime":763.97,"body":"ratio to know who to listen to,"},{"speaker":"Dr. Douglas L. Beck","startTime":761.03,"endTime":763.97,"body":"to know what's important to"},{"speaker":"Dr. Douglas L. Beck","startTime":763.97,"endTime":766.28,"body":"focus on. So those are very,"},{"speaker":"Dr. Douglas L. Beck","startTime":763.97,"endTime":766.28,"body":"very beneficial. And we see at"},{"speaker":"Dr. Douglas L. Beck","startTime":766.28,"endTime":768.59,"body":"the other end of the scale as"},{"speaker":"Dr. Douglas L. Beck","startTime":766.28,"endTime":768.59,"body":"well with older folks, because"},{"speaker":"Dr. Douglas L. Beck","startTime":768.62,"endTime":772.19,"body":"once you're above 65, you're"},{"speaker":"Dr. Douglas L. Beck","startTime":768.62,"endTime":772.19,"body":"more likely to have chronic"},{"speaker":"Dr. Douglas L. Beck","startTime":772.19,"endTime":774.35,"body":"conditions. And you're more"},{"speaker":"Dr. Douglas L. Beck","startTime":772.19,"endTime":774.35,"body":"likely to have a hearing loss,"},{"speaker":"Dr. Douglas L. Beck","startTime":774.38,"endTime":777.74,"body":"age related hearing loss and"},{"speaker":"Dr. Douglas L. Beck","startTime":774.38,"endTime":777.74,"body":"cognitive decline are signs and"},{"speaker":"Dr. Douglas L. Beck","startTime":777.74,"endTime":780.74,"body":"symptoms that are typical in"},{"speaker":"Dr. Douglas L. Beck","startTime":777.74,"endTime":780.74,"body":"older folks. So one of the"},{"speaker":"Dr. Douglas L. Beck","startTime":780.74,"endTime":783.44,"body":"things is we try to figure out"},{"speaker":"Dr. Douglas L. Beck","startTime":780.74,"endTime":783.44,"body":"why both of these things happen."},{"speaker":"Dr. Douglas L. Beck","startTime":783.8,"endTime":786.74,"body":"One of the reasons that's"},{"speaker":"Dr. Douglas L. Beck","startTime":783.8,"endTime":786.74,"body":"hypothesized is called the"},{"speaker":"Dr. Douglas L. Beck","startTime":786.74,"endTime":790.34,"body":"common cause hypotheses, which"},{"speaker":"Dr. Douglas L. Beck","startTime":786.74,"endTime":790.34,"body":"is pretty simple and makes good"},{"speaker":"Dr. Douglas L. Beck","startTime":790.34,"endTime":792.26,"body":"intuitive sense. Now, I don't"},{"speaker":"Dr. Douglas L. Beck","startTime":790.34,"endTime":792.26,"body":"want to suggest anybody"},{"speaker":"Dr. Douglas L. Beck","startTime":792.26,"endTime":794.24,"body":"listening, this is why they have"},{"speaker":"Dr. Douglas L. Beck","startTime":792.26,"endTime":794.24,"body":"hearing loss. The"},{"speaker":"Dr. Douglas L. Beck","startTime":794.24,"endTime":797.03,"body":"neuroscientists are trying to"},{"speaker":"Dr. Douglas L. Beck","startTime":794.24,"endTime":797.03,"body":"figure this out. And one of the"},{"speaker":"Dr. Douglas L. Beck","startTime":797.06,"endTime":800.39,"body":"most popular hypotheses is the"},{"speaker":"Dr. Douglas L. Beck","startTime":797.06,"endTime":800.39,"body":"common cause hypotheses, which"},{"speaker":"Dr. Douglas L. Beck","startTime":800.39,"endTime":804.02,"body":"says age related hearing loss"},{"speaker":"Dr. Douglas L. Beck","startTime":800.39,"endTime":804.02,"body":"and cognitive decline happen"},{"speaker":"Dr. Douglas L. Beck","startTime":804.02,"endTime":806.33,"body":"more often in older people than"},{"speaker":"Dr. Douglas L. Beck","startTime":804.02,"endTime":806.33,"body":"younger people. Why would that"},{"speaker":"Dr. Douglas L. Beck","startTime":806.33,"endTime":809.42,"body":"be? Well, one of the common"},{"speaker":"Dr. Douglas L. Beck","startTime":806.33,"endTime":809.42,"body":"cause things is neurovascular."},{"speaker":"Dr. Douglas L. Beck","startTime":809.42,"endTime":811.55,"body":"In other words, you have your"},{"speaker":"Dr. Douglas L. Beck","startTime":809.42,"endTime":811.55,"body":"carotid arteries on the side of"},{"speaker":"Dr. Douglas L. Beck","startTime":811.55,"endTime":813.95,"body":"your neck, you have the"},{"speaker":"Dr. Douglas L. Beck","startTime":811.55,"endTime":813.95,"body":"vertebrobasilar artery is going"},{"speaker":"Dr. Douglas L. Beck","startTime":813.95,"endTime":817.22,"body":"up along your spine, they"},{"speaker":"Dr. Douglas L. Beck","startTime":813.95,"endTime":817.22,"body":"perfuse your brain, your brain"},{"speaker":"Dr. Douglas L. Beck","startTime":817.25,"endTime":820.13,"body":"has arterial blood flow that"},{"speaker":"Dr. Douglas L. Beck","startTime":817.25,"endTime":820.13,"body":"comes through these vessels."},{"speaker":"Dr. Douglas L. Beck","startTime":820.31,"endTime":824.18,"body":"Well, as you age, we develop"},{"speaker":"Dr. Douglas L. Beck","startTime":820.31,"endTime":824.18,"body":"cholesterol and triglycerides,"},{"speaker":"Dr. Douglas L. Beck","startTime":824.24,"endTime":827.15,"body":"atherosclerosis, and so a vessel"},{"speaker":"Dr. Douglas L. Beck","startTime":824.24,"endTime":827.15,"body":"that was originally let's say,"},{"speaker":"Dr. Douglas L. Beck","startTime":827.15,"endTime":829.85,"body":"half a centimeter, its exterior"},{"speaker":"Dr. Douglas L. Beck","startTime":827.15,"endTime":829.85,"body":"stays the same, but the interior"},{"speaker":"Dr. Douglas L. Beck","startTime":829.85,"endTime":833.12,"body":"gets narrower and narrower and"},{"speaker":"Dr. Douglas L. Beck","startTime":829.85,"endTime":833.12,"body":"narrower, as more and more"},{"speaker":"Dr. Douglas L. Beck","startTime":833.12,"endTime":836.54,"body":"deposits build up so the blood"},{"speaker":"Dr. Douglas L. Beck","startTime":833.12,"endTime":836.54,"body":"pressure eventually increases,"},{"speaker":"Dr. Douglas L. Beck","startTime":836.66,"endTime":839.66,"body":"because your heart is responding"},{"speaker":"Dr. Douglas L. Beck","startTime":836.66,"endTime":839.66,"body":"to the fact that it has to"},{"speaker":"Dr. Douglas L. Beck","startTime":839.66,"endTime":843.17,"body":"perfuse the entire body. well as"},{"speaker":"Dr. Douglas L. Beck","startTime":839.66,"endTime":843.17,"body":"those vessels become more and"},{"speaker":"Dr. Douglas L. Beck","startTime":843.17,"endTime":845.75,"body":"more narrow blood pressure"},{"speaker":"Dr. Douglas L. Beck","startTime":843.17,"endTime":845.75,"body":"increases. Now think about that"},{"speaker":"Dr. Douglas L. Beck","startTime":845.75,"endTime":848.72,"body":"in terms of the labyrinthine"},{"speaker":"Dr. Douglas L. Beck","startTime":845.75,"endTime":848.72,"body":"artery, which is the artery that"},{"speaker":"Dr. Douglas L. Beck","startTime":848.72,"endTime":851.18,"body":"feeds your inner ear in your"},{"speaker":"Dr. Douglas L. Beck","startTime":848.72,"endTime":851.18,"body":"vestibular balance system. Well,"},{"speaker":"Dr. Douglas L. Beck","startTime":851.18,"endTime":854.63,"body":"if the large vessels are"},{"speaker":"Dr. Douglas L. Beck","startTime":851.18,"endTime":854.63,"body":"susceptible to all of this"},{"speaker":"Dr. Douglas L. Beck","startTime":854.66,"endTime":859.16,"body":"occlusion through life, from you"},{"speaker":"Dr. Douglas L. Beck","startTime":854.66,"endTime":859.16,"body":"know, not exercising, not eating"},{"speaker":"Dr. Douglas L. Beck","startTime":859.16,"endTime":862.67,"body":"healthy foods, excessive fats,"},{"speaker":"Dr. Douglas L. Beck","startTime":859.16,"endTime":862.67,"body":"excessive triglycerides, all"},{"speaker":"Dr. Douglas L. Beck","startTime":862.67,"endTime":866.81,"body":"this stuff. So if your carotid"},{"speaker":"Dr. Douglas L. Beck","startTime":862.67,"endTime":866.81,"body":"can become full of plaque and"},{"speaker":"Dr. Douglas L. Beck","startTime":866.81,"endTime":869.54,"body":"goo, what do you think happens"},{"speaker":"Dr. Douglas L. Beck","startTime":866.81,"endTime":869.54,"body":"to labyrinthine artery? Well,"},{"speaker":"Dr. Douglas L. Beck","startTime":869.54,"endTime":872.66,"body":"probably pretty much the same."},{"speaker":"Dr. Douglas L. Beck","startTime":869.54,"endTime":872.66,"body":"So it could well be, although I"},{"speaker":"Dr. Douglas L. Beck","startTime":872.66,"endTime":874.67,"body":"wouldn't presume this to be"},{"speaker":"Dr. Douglas L. Beck","startTime":872.66,"endTime":874.67,"body":"true. But it could be"},{"speaker":"Dr. Douglas L. Beck","startTime":874.67,"endTime":878.45,"body":"theoretically, that the lack of"},{"speaker":"Dr. Douglas L. Beck","startTime":874.67,"endTime":878.45,"body":"blood flow to the brain and the"},{"speaker":"Dr. Douglas L. Beck","startTime":878.45,"endTime":882.53,"body":"inner ear could be why cognitive"},{"speaker":"Dr. Douglas L. Beck","startTime":878.45,"endTime":882.53,"body":"decline and hearing loss occur"},{"speaker":"Dr. Douglas L. Beck","startTime":882.53,"endTime":885.2,"body":"in older people. Do we know that"},{"speaker":"Dr. Douglas L. Beck","startTime":882.53,"endTime":885.2,"body":"to be true? No, we absolutely"},{"speaker":"Dr. Douglas L. Beck","startTime":885.2,"endTime":887.42,"body":"don't. I don't want to suggest"},{"speaker":"Dr. Douglas L. Beck","startTime":885.2,"endTime":887.42,"body":"that it's true. But these are"},{"speaker":"Dr. Douglas L. Beck","startTime":887.42,"endTime":889.43,"body":"the things that we're trying to"},{"speaker":"Dr. Douglas L. Beck","startTime":887.42,"endTime":889.43,"body":"work out as neuroscientists"},{"speaker":"Dr. Douglas L. Beck","startTime":889.58,"endTime":891.92,"body":"figure out. Why did these things"},{"speaker":"Dr. Douglas L. Beck","startTime":889.58,"endTime":891.92,"body":"happen to older people? And"},{"speaker":"Dr. Douglas L. Beck","startTime":891.92,"endTime":894.17,"body":"that's one of the most prominent"},{"speaker":"Dr. Douglas L. Beck","startTime":891.92,"endTime":894.17,"body":"theories and there are three or"},{"speaker":"Dr. Douglas L. Beck","startTime":894.17,"endTime":896.87,"body":"four others that I've written in"},{"speaker":"Dr. Douglas L. Beck","startTime":894.17,"endTime":896.87,"body":"a peer reviewed paper that's in"},{"speaker":"Dr. Douglas L. Beck","startTime":896.87,"endTime":899.54,"body":"the Journal of our laryngology"},{"speaker":"Dr. Douglas L. Beck","startTime":896.87,"endTime":899.54,"body":"do research and anybody who"},{"speaker":"Dr. Douglas L. Beck","startTime":899.54,"endTime":902.12,"body":"wants that can go to"},{"speaker":"Dr. Douglas L. Beck","startTime":899.54,"endTime":902.12,"body":"DouglasLBeck.com you'll find it"},{"speaker":"Dr. Douglas L. Beck","startTime":902.12,"endTime":904.28,"body":"there. I think it was published"},{"speaker":"Dr. Douglas L. Beck","startTime":902.12,"endTime":904.28,"body":"in 2020."},{"speaker":"Blaise Delfino","startTime":904.31,"endTime":909.62,"body":"Dr. Delfino, Dr."},{"speaker":"Blaise Delfino","startTime":904.31,"endTime":909.62,"body":"Beck just shared so many great"},{"speaker":"Blaise Delfino","startTime":909.62,"endTime":911.99,"body":"golden nuggets there truly for"},{"speaker":"Blaise Delfino","startTime":909.62,"endTime":911.99,"body":"lack of a better term. And"},{"speaker":"Blaise Delfino","startTime":911.99,"endTime":914.51,"body":"you've been specializing in"},{"speaker":"Blaise Delfino","startTime":911.99,"endTime":914.51,"body":"working with patients who"},{"speaker":"Blaise Delfino","startTime":914.51,"endTime":918.05,"body":"present with central auditory"},{"speaker":"Blaise Delfino","startTime":914.51,"endTime":918.05,"body":"processing for well over 20"},{"speaker":"Blaise Delfino","startTime":918.05,"endTime":922.34,"body":"years and here at Audiology"},{"speaker":"Blaise Delfino","startTime":918.05,"endTime":922.34,"body":"Services, you'll see patients on"},{"speaker":"Blaise Delfino","startTime":922.34,"endTime":926.12,"body":"a weekly basis test them for"},{"speaker":"Blaise Delfino","startTime":922.34,"endTime":926.12,"body":"central auditory processing. And"},{"speaker":"Blaise Delfino","startTime":926.12,"endTime":930.02,"body":"of course, the recommendation is"},{"speaker":"Blaise Delfino","startTime":926.12,"endTime":930.02,"body":"low gain hearing technology."},{"speaker":"Blaise Delfino","startTime":930.2,"endTime":933.2,"body":"What has your experience been"},{"speaker":"Blaise Delfino","startTime":930.2,"endTime":933.2,"body":"with fitting these patients with"},{"speaker":"Blaise Delfino","startTime":933.2,"endTime":935.72,"body":"this low gain hearing"},{"speaker":"Blaise Delfino","startTime":933.2,"endTime":935.72,"body":"technology, and what have you"},{"speaker":"Blaise Delfino","startTime":935.72,"endTime":937.88,"body":"found throughout the years"},{"speaker":"Blaise Delfino","startTime":935.72,"endTime":937.88,"body":"working with patients who do"},{"speaker":"Blaise Delfino","startTime":937.88,"endTime":939.8,"body":"present with central auditory"},{"speaker":"Blaise Delfino","startTime":937.88,"endTime":939.8,"body":"processing?"},{"speaker":"Dr. Gregory Delfino","startTime":939.87,"endTime":942.3,"body":"The"},{"speaker":"Dr. Gregory Delfino","startTime":939.87,"endTime":942.3,"body":"population is unique, it is much"},{"speaker":"Dr. Gregory Delfino","startTime":942.3,"endTime":946.32,"body":"as often the parents will come."},{"speaker":"Dr. Gregory Delfino","startTime":942.3,"endTime":946.32,"body":"And they will we tell the story"},{"speaker":"Dr. Gregory Delfino","startTime":946.32,"endTime":948.9,"body":"that their child has been"},{"speaker":"Dr. Gregory Delfino","startTime":946.32,"endTime":948.9,"body":"tested, there is no hearing"},{"speaker":"Dr. Gregory Delfino","startTime":948.9,"endTime":952.26,"body":"loss, they are in a quandary as"},{"speaker":"Dr. Gregory Delfino","startTime":948.9,"endTime":952.26,"body":"to what's going on. So after"},{"speaker":"Dr. Gregory Delfino","startTime":952.26,"endTime":955.65,"body":"I've gone through the complete"},{"speaker":"Dr. Gregory Delfino","startTime":952.26,"endTime":955.65,"body":"peripheral auditory evaluation"},{"speaker":"Dr. Gregory Delfino","startTime":955.65,"endTime":958.02,"body":"and gone into the auditory"},{"speaker":"Dr. Gregory Delfino","startTime":955.65,"endTime":958.02,"body":"processing, we sit down, and we"},{"speaker":"Dr. Gregory Delfino","startTime":958.02,"endTime":960.81,"body":"look at the specific areas of"},{"speaker":"Dr. Gregory Delfino","startTime":958.02,"endTime":960.81,"body":"concern. And then we start to"},{"speaker":"Dr. Gregory Delfino","startTime":960.81,"endTime":963.81,"body":"talk about some therapies or"},{"speaker":"Dr. Gregory Delfino","startTime":960.81,"endTime":963.81,"body":"some interventions. And clearly,"},{"speaker":"Dr. Gregory Delfino","startTime":963.84,"endTime":966.6,"body":"what I have found that works"},{"speaker":"Dr. Gregory Delfino","startTime":963.84,"endTime":966.6,"body":"really well is some of this low"},{"speaker":"Dr. Gregory Delfino","startTime":966.6,"endTime":969.66,"body":"level amplification. We always"},{"speaker":"Dr. Gregory Delfino","startTime":966.6,"endTime":969.66,"body":"approach the parent and the"},{"speaker":"Dr. Gregory Delfino","startTime":969.66,"endTime":973.14,"body":"child with it on a trial basis,"},{"speaker":"Dr. Gregory Delfino","startTime":969.66,"endTime":973.14,"body":"because I believe it's got to"},{"speaker":"Dr. Gregory Delfino","startTime":973.14,"endTime":975.99,"body":"come from them, their decision"},{"speaker":"Dr. Gregory Delfino","startTime":973.14,"endTime":975.99,"body":"has to be whether or not this is"},{"speaker":"Dr. Gregory Delfino","startTime":975.99,"endTime":977.64,"body":"going to work for them, they"},{"speaker":"Dr. Gregory Delfino","startTime":975.99,"endTime":977.64,"body":"need to take it in the"},{"speaker":"Dr. Gregory Delfino","startTime":977.64,"endTime":979.8,"body":"environment in which they're"},{"speaker":"Dr. Gregory Delfino","startTime":977.64,"endTime":979.8,"body":"working to see whether or not in"},{"speaker":"Dr. Gregory Delfino","startTime":979.8,"endTime":982.5,"body":"fact impacts the way in which"},{"speaker":"Dr. Gregory Delfino","startTime":979.8,"endTime":982.5,"body":"they're functioning. The results"},{"speaker":"Dr. Gregory Delfino","startTime":982.5,"endTime":986.13,"body":"we've seen are incredibly"},{"speaker":"Dr. Gregory Delfino","startTime":982.5,"endTime":986.13,"body":"significant in that both parents"},{"speaker":"Dr. Gregory Delfino","startTime":986.16,"endTime":989.37,"body":"children and off times learning"},{"speaker":"Dr. Gregory Delfino","startTime":986.16,"endTime":989.37,"body":"support at the school have"},{"speaker":"Dr. Gregory Delfino","startTime":989.37,"endTime":991.83,"body":"noticed a significant"},{"speaker":"Dr. Gregory Delfino","startTime":989.37,"endTime":991.83,"body":"improvement in the way in which"},{"speaker":"Dr. Gregory Delfino","startTime":991.83,"endTime":994.77,"body":"the child was able to function."},{"speaker":"Dr. Gregory Delfino","startTime":991.83,"endTime":994.77,"body":"We've seen children here whose"},{"speaker":"Dr. Gregory Delfino","startTime":994.77,"endTime":997.95,"body":"self esteem has completely"},{"speaker":"Dr. Gregory Delfino","startTime":994.77,"endTime":997.95,"body":"changed when we first sit down"},{"speaker":"Dr. Gregory Delfino","startTime":997.95,"endTime":999.87,"body":"with them, they're shy, they"},{"speaker":"Dr. Gregory Delfino","startTime":997.95,"endTime":999.87,"body":"don't want to share their"},{"speaker":"Dr. Gregory Delfino","startTime":999.87,"endTime":1002.18,"body":"experience. But after they've"},{"speaker":"Dr. Gregory Delfino","startTime":999.87,"endTime":1002.18,"body":"had the instruments on for a"},{"speaker":"Dr. Gregory Delfino","startTime":1002.18,"endTime":1005.42,"body":"while they become verbose as a"},{"speaker":"Dr. Gregory Delfino","startTime":1002.18,"endTime":1005.42,"body":"whole different child. And that"},{"speaker":"Dr. Gregory Delfino","startTime":1005.42,"endTime":1007.94,"body":"just tells me we are moving in"},{"speaker":"Dr. Gregory Delfino","startTime":1005.42,"endTime":1007.94,"body":"the right direction."},{"speaker":"Dr. Douglas L. Beck","startTime":1007.97,"endTime":1009.71,"body":"And this is"},{"speaker":"Dr. Douglas L. Beck","startTime":1007.97,"endTime":1009.71,"body":"the essence of patient centered"},{"speaker":"Dr. Douglas L. Beck","startTime":1009.71,"endTime":1012.8,"body":"care, right is that you have to"},{"speaker":"Dr. Douglas L. Beck","startTime":1009.71,"endTime":1012.8,"body":"take each individual and you"},{"speaker":"Dr. Douglas L. Beck","startTime":1012.8,"endTime":1015.23,"body":"can't have this is what we do"},{"speaker":"Dr. Douglas L. Beck","startTime":1012.8,"endTime":1015.23,"body":"for these people, this is how we"},{"speaker":"Dr. Douglas L. Beck","startTime":1015.23,"endTime":1018.05,"body":"handle it, you know, each"},{"speaker":"Dr. Douglas L. Beck","startTime":1015.23,"endTime":1018.05,"body":"patient is individual. And"},{"speaker":"Dr. Douglas L. Beck","startTime":1018.05,"endTime":1020.06,"body":"that's why it's so important"},{"speaker":"Dr. Douglas L. Beck","startTime":1018.05,"endTime":1020.06,"body":"when you go through auditory"},{"speaker":"Dr. Douglas L. Beck","startTime":1020.06,"endTime":1023.03,"body":"processing disorders and you do"},{"speaker":"Dr. Douglas L. Beck","startTime":1020.06,"endTime":1023.03,"body":"appropriate intervention, you"},{"speaker":"Dr. Douglas L. Beck","startTime":1023.03,"endTime":1025.58,"body":"have to explore their listening"},{"speaker":"Dr. Douglas L. Beck","startTime":1023.03,"endTime":1025.58,"body":"and communication ability,"},{"speaker":"Dr. Douglas L. Beck","startTime":1025.58,"endTime":1028.85,"body":"because there was a study,"},{"speaker":"Dr. Douglas L. Beck","startTime":1025.58,"endTime":1028.85,"body":"National Council of Aging 1999,"},{"speaker":"Dr. Douglas L. Beck","startTime":1028.88,"endTime":1031.4,"body":"they looked at about 2000"},{"speaker":"Dr. Douglas L. Beck","startTime":1028.88,"endTime":1031.4,"body":"people, it had corrected their"},{"speaker":"Dr. Douglas L. Beck","startTime":1031.4,"endTime":1034.46,"body":"hearing loss versus 2000 people"},{"speaker":"Dr. Douglas L. Beck","startTime":1031.4,"endTime":1034.46,"body":"who had hearing loss but didn't"},{"speaker":"Dr. Douglas L. Beck","startTime":1034.46,"endTime":1036.83,"body":"correct it. And they found very"},{"speaker":"Dr. Douglas L. Beck","startTime":1034.46,"endTime":1036.83,"body":"much the same thing that the"},{"speaker":"Dr. Douglas L. Beck","startTime":1036.83,"endTime":1039.65,"body":"people who corrected their"},{"speaker":"Dr. Douglas L. Beck","startTime":1036.83,"endTime":1039.65,"body":"hearing loss had less anxiety,"},{"speaker":"Dr. Douglas L. Beck","startTime":1039.65,"endTime":1043.22,"body":"less stress, were more sociable,"},{"speaker":"Dr. Douglas L. Beck","startTime":1039.65,"endTime":1043.22,"body":"and were able to engage in"},{"speaker":"Dr. Douglas L. Beck","startTime":1043.22,"endTime":1045.41,"body":"conversations much like these"},{"speaker":"Dr. Douglas L. Beck","startTime":1043.22,"endTime":1045.41,"body":"children you're speaking about."},{"speaker":"Dr. Douglas L. Beck","startTime":1045.41,"endTime":1047.6,"body":"Now, they just all of a sudden"},{"speaker":"Dr. Douglas L. Beck","startTime":1045.41,"endTime":1047.6,"body":"emerge. Now some people say,"},{"speaker":"Dr. Douglas L. Beck","startTime":1047.63,"endTime":1050.42,"body":"well, that's evidence that"},{"speaker":"Dr. Douglas L. Beck","startTime":1047.63,"endTime":1050.42,"body":"they're undergoing positive"},{"speaker":"Dr. Douglas L. Beck","startTime":1050.42,"endTime":1053.24,"body":"neuro plastic cognitive changes."},{"speaker":"Dr. Douglas L. Beck","startTime":1050.42,"endTime":1053.24,"body":"And that may well be but I think"},{"speaker":"Dr. Douglas L. Beck","startTime":1053.24,"endTime":1056.6,"body":"what it clearly is the starting"},{"speaker":"Dr. Douglas L. Beck","startTime":1053.24,"endTime":1056.6,"body":"point is to remove auditory"},{"speaker":"Dr. Douglas L. Beck","startTime":1056.6,"endTime":1058.64,"body":"deprivation, right? In other"},{"speaker":"Dr. Douglas L. Beck","startTime":1056.6,"endTime":1058.64,"body":"words, now that they can"},{"speaker":"Dr. Douglas L. Beck","startTime":1058.64,"endTime":1061.52,"body":"perceive the sound, now they can"},{"speaker":"Dr. Douglas L. Beck","startTime":1058.64,"endTime":1061.52,"body":"participate. You know, hearing"},{"speaker":"Dr. Douglas L. Beck","startTime":1061.52,"endTime":1063.92,"body":"is perceiving sound listening is"},{"speaker":"Dr. Douglas L. Beck","startTime":1061.52,"endTime":1063.92,"body":"making sense of sound. So what"},{"speaker":"Dr. Douglas L. Beck","startTime":1063.92,"endTime":1067.01,"body":"you're doing, I think, in your"},{"speaker":"Dr. Douglas L. Beck","startTime":1063.92,"endTime":1067.01,"body":"example, is you're allowing them"},{"speaker":"Dr. Douglas L. Beck","startTime":1067.01,"endTime":1070.76,"body":"to participate in the acoustic"},{"speaker":"Dr. Douglas L. Beck","startTime":1067.01,"endTime":1070.76,"body":"world, so they can thrive. And"},{"speaker":"Dr. Douglas L. Beck","startTime":1070.76,"endTime":1072.47,"body":"without that it's much more"},{"speaker":"Dr. Douglas L. Beck","startTime":1070.76,"endTime":1072.47,"body":"difficult."},{"speaker":"Blaise Delfino","startTime":1072.53,"endTime":1074.87,"body":"Dr. Beck, we"},{"speaker":"Blaise Delfino","startTime":1072.53,"endTime":1074.87,"body":"don't necessarily hear with our"},{"speaker":"Blaise Delfino","startTime":1074.87,"endTime":1078.17,"body":"ears, we hear with our brain,"},{"speaker":"Blaise Delfino","startTime":1074.87,"endTime":1078.17,"body":"can you just tell us a few"},{"speaker":"Blaise Delfino","startTime":1078.17,"endTime":1082.7,"body":"reasons why patients need to"},{"speaker":"Blaise Delfino","startTime":1078.17,"endTime":1082.7,"body":"visit an audiologist or licensed"},{"speaker":"Blaise Delfino","startTime":1082.7,"endTime":1086.33,"body":"hearing healthcare professional,"},{"speaker":"Blaise Delfino","startTime":1082.7,"endTime":1086.33,"body":"rather than just purchasing an"},{"speaker":"Blaise Delfino","startTime":1086.33,"endTime":1088.37,"body":"amplifier online or over the"},{"speaker":"Blaise Delfino","startTime":1086.33,"endTime":1088.37,"body":"counter?"},{"speaker":"Blaise Delfino","startTime":1088.45,"endTime":1091.96,"body":"Well, so in medicine, we have a"},{"speaker":"Blaise Delfino","startTime":1088.45,"endTime":1091.96,"body":"rule, and every physician"},{"speaker":"Blaise Delfino","startTime":1091.96,"endTime":1094.39,"body":"listening to this will recognize"},{"speaker":"Blaise Delfino","startTime":1091.96,"endTime":1094.39,"body":"this. It's called diagnosis"},{"speaker":"Blaise Delfino","startTime":1094.39,"endTime":1098.11,"body":"first, treatment. Second, and"},{"speaker":"Blaise Delfino","startTime":1094.39,"endTime":1098.11,"body":"this is a very, very important"},{"speaker":"Blaise Delfino","startTime":1098.11,"endTime":1100.3,"body":"concept. Because when you have"},{"speaker":"Blaise Delfino","startTime":1098.11,"endTime":1100.3,"body":"hearing loss, and you buy"},{"speaker":"Blaise Delfino","startTime":1100.3,"endTime":1103.18,"body":"something over the counter or"},{"speaker":"Blaise Delfino","startTime":1100.3,"endTime":1103.18,"body":"online, or you have listening"},{"speaker":"Blaise Delfino","startTime":1103.18,"endTime":1105.46,"body":"difficulty and you buy something"},{"speaker":"Blaise Delfino","startTime":1103.18,"endTime":1105.46,"body":"over the counter online, there's"},{"speaker":"Blaise Delfino","startTime":1105.46,"endTime":1108.13,"body":"no diagnosis, there's just an"},{"speaker":"Blaise Delfino","startTime":1105.46,"endTime":1108.13,"body":"appreciation that you're having"},{"speaker":"Blaise Delfino","startTime":1108.13,"endTime":1110.77,"body":"difficulty. And it could be that"},{"speaker":"Blaise Delfino","startTime":1108.13,"endTime":1110.77,"body":"if you come into an office,"},{"speaker":"Blaise Delfino","startTime":1110.77,"endTime":1112.57,"body":"somebody looks in your ear, and"},{"speaker":"Blaise Delfino","startTime":1110.77,"endTime":1112.57,"body":"they say, you know, right"},{"speaker":"Blaise Delfino","startTime":1112.57,"endTime":1115.81,"body":"against your eardrum, there's a"},{"speaker":"Blaise Delfino","startTime":1112.57,"endTime":1115.81,"body":"hair or there's Cerumen, which"},{"speaker":"Blaise Delfino","startTime":1115.81,"endTime":1119.05,"body":"is also known as earwax, or you"},{"speaker":"Blaise Delfino","startTime":1115.81,"endTime":1119.05,"body":"could have a foreign object in"},{"speaker":"Blaise Delfino","startTime":1119.05,"endTime":1121.78,"body":"your ear, you could have a torn"},{"speaker":"Blaise Delfino","startTime":1119.05,"endTime":1121.78,"body":"eardrum, you could have"},{"speaker":"Blaise Delfino","startTime":1121.81,"endTime":1124.81,"body":"ossicular discontinuity, which"},{"speaker":"Blaise Delfino","startTime":1121.81,"endTime":1124.81,"body":"means that the malleus, the"},{"speaker":"Blaise Delfino","startTime":1124.81,"endTime":1127.0,"body":"incus, or the staples of the"},{"speaker":"Blaise Delfino","startTime":1124.81,"endTime":1127.0,"body":"three little bones in the middle"},{"speaker":"Blaise Delfino","startTime":1127.0,"endTime":1130.36,"body":"ear, are not functioning"},{"speaker":"Blaise Delfino","startTime":1127.0,"endTime":1130.36,"body":"properly. It could be that you"},{"speaker":"Blaise Delfino","startTime":1130.36,"endTime":1133.45,"body":"have a dangerous hearing loss"},{"speaker":"Blaise Delfino","startTime":1130.36,"endTime":1133.45,"body":"because there are some of those"},{"speaker":"Blaise Delfino","startTime":1133.45,"endTime":1136.39,"body":"they're called retro cochlear."},{"speaker":"Blaise Delfino","startTime":1133.45,"endTime":1136.39,"body":"And that could be the sign of"},{"speaker":"Blaise Delfino","startTime":1136.39,"endTime":1139.12,"body":"some sort of a brain tumor. Now,"},{"speaker":"Blaise Delfino","startTime":1136.39,"endTime":1139.12,"body":"I don't want to alert people and"},{"speaker":"Blaise Delfino","startTime":1139.12,"endTime":1142.18,"body":"give you unnecessary fear. And"},{"speaker":"Blaise Delfino","startTime":1139.12,"endTime":1142.18,"body":"you know, they're not common,"},{"speaker":"Blaise Delfino","startTime":1142.21,"endTime":1144.58,"body":"but they do exist. Every year"},{"speaker":"Blaise Delfino","startTime":1142.21,"endTime":1144.58,"body":"all of us see a couple of"},{"speaker":"Blaise Delfino","startTime":1144.58,"endTime":1146.92,"body":"patients who have an acoustic"},{"speaker":"Blaise Delfino","startTime":1144.58,"endTime":1146.92,"body":"neuroma, which is also called a"},{"speaker":"Blaise Delfino","startTime":1146.92,"endTime":1149.98,"body":"vestibular schwannoma. And"},{"speaker":"Blaise Delfino","startTime":1146.92,"endTime":1149.98,"body":"that's the fear that many of the"},{"speaker":"Blaise Delfino","startTime":1149.98,"endTime":1153.04,"body":"professionals have is that when"},{"speaker":"Blaise Delfino","startTime":1149.98,"endTime":1153.04,"body":"people go direct to just"},{"speaker":"Blaise Delfino","startTime":1153.04,"endTime":1156.73,"body":"purchase an inexpensive device,"},{"speaker":"Blaise Delfino","startTime":1153.04,"endTime":1156.73,"body":"there's no diagnosis, there's"},{"speaker":"Blaise Delfino","startTime":1156.73,"endTime":1160.03,"body":"just treatment. And that's the"},{"speaker":"Blaise Delfino","startTime":1156.73,"endTime":1160.03,"body":"problem. Because, you know, once"},{"speaker":"Blaise Delfino","startTime":1160.03,"endTime":1162.01,"body":"you've been diagnosed, and we"},{"speaker":"Blaise Delfino","startTime":1160.03,"endTime":1162.01,"body":"all know that you're okay, well,"},{"speaker":"Blaise Delfino","startTime":1162.01,"endTime":1165.19,"body":"then let's figure out what to do"},{"speaker":"Blaise Delfino","startTime":1162.01,"endTime":1165.19,"body":"about that. But diagnosis first,"},{"speaker":"Blaise Delfino","startTime":1165.4,"endTime":1168.76,"body":"treatment second, and most"},{"speaker":"Blaise Delfino","startTime":1165.4,"endTime":1168.76,"body":"people are not aware of the fact"},{"speaker":"Blaise Delfino","startTime":1168.76,"endTime":1171.58,"body":"that you can go into almost any"},{"speaker":"Blaise Delfino","startTime":1168.76,"endTime":1171.58,"body":"professional hearing care"},{"speaker":"Blaise Delfino","startTime":1171.67,"endTime":1174.91,"body":"office, and you can probably"},{"speaker":"Blaise Delfino","startTime":1171.67,"endTime":1174.91,"body":"walk out with a less expensive"},{"speaker":"Blaise Delfino","startTime":1174.91,"endTime":1177.94,"body":"hearing aid with one or two"},{"speaker":"Blaise Delfino","startTime":1174.91,"endTime":1177.94,"body":"years of follow up with a"},{"speaker":"Blaise Delfino","startTime":1177.94,"endTime":1180.37,"body":"diagnostic test with somebody"},{"speaker":"Blaise Delfino","startTime":1177.94,"endTime":1180.37,"body":"who knows what they're doing,"},{"speaker":"Blaise Delfino","startTime":1180.37,"endTime":1182.62,"body":"who can program the hearing aid"},{"speaker":"Blaise Delfino","startTime":1180.37,"endTime":1182.62,"body":"for you, it's probably going to"},{"speaker":"Blaise Delfino","startTime":1182.62,"endTime":1186.07,"body":"cost you less than 1000 or 1200"},{"speaker":"Blaise Delfino","startTime":1182.62,"endTime":1186.07,"body":"bucks. And in some offices, it's"},{"speaker":"Blaise Delfino","startTime":1186.07,"endTime":1189.16,"body":"less, some offices, you can get"},{"speaker":"Blaise Delfino","startTime":1186.07,"endTime":1189.16,"body":"out for 800 900 bucks, but I"},{"speaker":"Blaise Delfino","startTime":1189.16,"endTime":1192.34,"body":"think you're better off doing"},{"speaker":"Blaise Delfino","startTime":1189.16,"endTime":1192.34,"body":"that with professional care and"},{"speaker":"Blaise Delfino","startTime":1192.34,"endTime":1195.13,"body":"taking it upon yourself. I mean,"},{"speaker":"Blaise Delfino","startTime":1192.34,"endTime":1195.13,"body":"once you know what you're doing"},{"speaker":"Blaise Delfino","startTime":1195.13,"endTime":1197.98,"body":"once you're experienced and you"},{"speaker":"Blaise Delfino","startTime":1195.13,"endTime":1197.98,"body":"know that you're safe then okay,"},{"speaker":"Blaise Delfino","startTime":1198.01,"endTime":1200.65,"body":"maybe that's the time if you"},{"speaker":"Blaise Delfino","startTime":1198.01,"endTime":1200.65,"body":"have a mild loss to explore some"},{"speaker":"Blaise Delfino","startTime":1200.65,"endTime":1204.04,"body":"options direct to consumer fine."},{"speaker":"Blaise Delfino","startTime":1200.65,"endTime":1204.04,"body":"But I think skipping that"},{"speaker":"Blaise Delfino","startTime":1204.04,"endTime":1207.13,"body":"diagnostic step is not a good"},{"speaker":"Blaise Delfino","startTime":1204.04,"endTime":1207.13,"body":"idea. Think about that in any"},{"speaker":"Blaise Delfino","startTime":1207.13,"endTime":1209.53,"body":"other realm, whether it's your"},{"speaker":"Blaise Delfino","startTime":1207.13,"endTime":1209.53,"body":"teeth and you have teeth pain,"},{"speaker":"Blaise Delfino","startTime":1209.71,"endTime":1213.07,"body":"and, you know, you just go ahead"},{"speaker":"Blaise Delfino","startTime":1209.71,"endTime":1213.07,"body":"and you take Advil for it, and"},{"speaker":"Blaise Delfino","startTime":1213.07,"endTime":1214.99,"body":"maybe it goes away, and you"},{"speaker":"Blaise Delfino","startTime":1213.07,"endTime":1214.99,"body":"never ever problem again. So"},{"speaker":"Blaise Delfino","startTime":1214.99,"endTime":1217.36,"body":"that's great, but maybe you need"},{"speaker":"Blaise Delfino","startTime":1214.99,"endTime":1217.36,"body":"a root canal. And it would be"},{"speaker":"Blaise Delfino","startTime":1217.36,"endTime":1220.0,"body":"really good to know that because"},{"speaker":"Blaise Delfino","startTime":1217.36,"endTime":1220.0,"body":"these things get worse, left"},{"speaker":"Blaise Delfino","startTime":1220.0,"endTime":1222.4,"body":"untreated, could be you have a"},{"speaker":"Blaise Delfino","startTime":1220.0,"endTime":1222.4,"body":"headache, there's three things"},{"speaker":"Blaise Delfino","startTime":1222.4,"endTime":1224.44,"body":"in medicine that we can prove,"},{"speaker":"Blaise Delfino","startTime":1222.4,"endTime":1224.44,"body":"we can't prove everybody has a"},{"speaker":"Blaise Delfino","startTime":1224.44,"endTime":1227.77,"body":"headache, we can't prove that"},{"speaker":"Blaise Delfino","startTime":1224.44,"endTime":1227.77,"body":"anybody has lower back pain, and"},{"speaker":"Blaise Delfino","startTime":1227.77,"endTime":1230.26,"body":"we can't prove that somebody has"},{"speaker":"Blaise Delfino","startTime":1227.77,"endTime":1230.26,"body":"tinnitus. These are all"},{"speaker":"Blaise Delfino","startTime":1230.26,"endTime":1233.89,"body":"subjective complaints, and you"},{"speaker":"Blaise Delfino","startTime":1230.26,"endTime":1233.89,"body":"can't prove any of them. And so"},{"speaker":"Blaise Delfino","startTime":1234.01,"endTime":1236.68,"body":"when you have a headache, and it"},{"speaker":"Blaise Delfino","startTime":1234.01,"endTime":1236.68,"body":"doesn't go away, maybe it's a"},{"speaker":"Blaise Delfino","startTime":1236.68,"endTime":1239.71,"body":"migraine, maybe it's something"},{"speaker":"Blaise Delfino","startTime":1236.68,"endTime":1239.71,"body":"much more dangerous, you know,"},{"speaker":"Blaise Delfino","startTime":1239.71,"endTime":1242.74,"body":"headaches, that go undiagnosed"},{"speaker":"Blaise Delfino","startTime":1239.71,"endTime":1242.74,"body":"can become real problems. When"},{"speaker":"Blaise Delfino","startTime":1242.74,"endTime":1245.5,"body":"you have back pain, and you"},{"speaker":"Blaise Delfino","startTime":1242.74,"endTime":1245.5,"body":"don't get a diagnosis, you can"},{"speaker":"Blaise Delfino","startTime":1245.5,"endTime":1247.75,"body":"have a very, very serious issue."},{"speaker":"Blaise Delfino","startTime":1245.5,"endTime":1247.75,"body":"And if all you do is buy a"},{"speaker":"Blaise Delfino","startTime":1247.75,"endTime":1250.45,"body":"brace, or you take Advil or you"},{"speaker":"Blaise Delfino","startTime":1247.75,"endTime":1250.45,"body":"take Tylenol or something over"},{"speaker":"Blaise Delfino","startTime":1250.45,"endTime":1253.33,"body":"the counter, you can mask it."},{"speaker":"Blaise Delfino","startTime":1250.45,"endTime":1253.33,"body":"But maybe it's getting worse"},{"speaker":"Blaise Delfino","startTime":1253.33,"endTime":1255.88,"body":"while you're masking it. And"},{"speaker":"Blaise Delfino","startTime":1253.33,"endTime":1255.88,"body":"it's the same sort of fear with"},{"speaker":"Blaise Delfino","startTime":1255.88,"endTime":1259.18,"body":"people who go and buy a product"},{"speaker":"Blaise Delfino","startTime":1255.88,"endTime":1259.18,"body":"directly. It's not about the"},{"speaker":"Blaise Delfino","startTime":1259.18,"endTime":1262.54,"body":"product, you have to understand"},{"speaker":"Blaise Delfino","startTime":1259.18,"endTime":1262.54,"body":"the primary benefit of a premium"},{"speaker":"Blaise Delfino","startTime":1262.54,"endTime":1265.87,"body":"hearing aid is the services that"},{"speaker":"Blaise Delfino","startTime":1262.54,"endTime":1265.87,"body":"comes with it. Because you're"},{"speaker":"Blaise Delfino","startTime":1265.87,"endTime":1268.18,"body":"going to an expert, you're going"},{"speaker":"Blaise Delfino","startTime":1265.87,"endTime":1268.18,"body":"somebody who's been trained for"},{"speaker":"Blaise Delfino","startTime":1268.18,"endTime":1271.21,"body":"multiple years is licensed by"},{"speaker":"Blaise Delfino","startTime":1268.18,"endTime":1271.21,"body":"their state to manage this"},{"speaker":"Blaise Delfino","startTime":1271.21,"endTime":1274.0,"body":"problem. And they're looking for"},{"speaker":"Blaise Delfino","startTime":1271.21,"endTime":1274.0,"body":"all those red flags. And if they"},{"speaker":"Blaise Delfino","startTime":1274.0,"endTime":1277.3,"body":"say that you're okay, then"},{"speaker":"Blaise Delfino","startTime":1274.0,"endTime":1277.3,"body":"you're probably okay. That's the"},{"speaker":"Blaise Delfino","startTime":1277.3,"endTime":1280.18,"body":"whole reason, when we have"},{"speaker":"Blaise Delfino","startTime":1277.3,"endTime":1280.18,"body":"licenses in every state in the"},{"speaker":"Blaise Delfino","startTime":1280.18,"endTime":1283.69,"body":"union. It's not because we need"},{"speaker":"Blaise Delfino","startTime":1280.18,"endTime":1283.69,"body":"to be licensed for our benefit."},{"speaker":"Blaise Delfino","startTime":1283.81,"endTime":1287.35,"body":"All state licenses are there to"},{"speaker":"Blaise Delfino","startTime":1283.81,"endTime":1287.35,"body":"protect the patient. That's the"},{"speaker":"Blaise Delfino","startTime":1287.35,"endTime":1290.41,"body":"goal of the state guidelines is"},{"speaker":"Blaise Delfino","startTime":1287.35,"endTime":1290.41,"body":"to protect the patient. So when"},{"speaker":"Blaise Delfino","startTime":1290.41,"endTime":1292.96,"body":"we go around that and we don't"},{"speaker":"Blaise Delfino","startTime":1290.41,"endTime":1292.96,"body":"involve a professional, we don't"},{"speaker":"Blaise Delfino","startTime":1292.96,"endTime":1293.86,"body":"really know what's gonna happen."},{"speaker":"Blaise Delfino","startTime":1294.02,"endTime":1297.23,"body":"You're tuned into the Hearing"},{"speaker":"Blaise Delfino","startTime":1294.02,"endTime":1297.23,"body":"Matters Podcast with Dr. Gregory"},{"speaker":"Blaise Delfino","startTime":1297.23,"endTime":1301.49,"body":"Delfino, and Blaise Delfino of"},{"speaker":"Blaise Delfino","startTime":1297.23,"endTime":1301.49,"body":"Audiology Services and Fader"},{"speaker":"Blaise Delfino","startTime":1301.49,"endTime":1306.23,"body":"Plugs. Today we had Dr. Douglas"},{"speaker":"Blaise Delfino","startTime":1301.49,"endTime":1306.23,"body":"Beck VP of Academic Sciences at"},{"speaker":"Blaise Delfino","startTime":1306.23,"endTime":1310.07,"body":"Oticon, join us again this week"},{"speaker":"Blaise Delfino","startTime":1306.23,"endTime":1310.07,"body":"and we discussed cognition,"},{"speaker":"Blaise Delfino","startTime":1310.1,"endTime":1314.06,"body":"audition, and amplification."},{"speaker":"Blaise Delfino","startTime":1310.1,"endTime":1314.06,"body":"Tune in again next week where"},{"speaker":"Blaise Delfino","startTime":1314.06,"endTime":1317.84,"body":"Dr. Beck and Dr. Delfino and"},{"speaker":"Blaise Delfino","startTime":1314.06,"endTime":1317.84,"body":"myself will be discussing"},{"speaker":"Blaise Delfino","startTime":1317.84,"endTime":1321.2,"body":"musicians and hearing"},{"speaker":"Blaise Delfino","startTime":1317.84,"endTime":1321.2,"body":"protection. Until next time,"},{"speaker":"Blaise Delfino","startTime":1321.32,"endTime":1322.34,"body":"hear life's story."}]}