Category Archives: Audiology

20240820_Can-you-hear-me-now

NOTE:  This is a longer post with one (1) photo, with caption, taken by me using a Google Pixel 6 Pro.

 

TUESDAY 20 August 2024 — An audiology appointment (Bruce); An RV inspector; flooring, furniture & railing decisions; another UPS; garage doors; a ZOOM call; and the DNC on PBS

The RV inspector arrived before I left for my 10:30 AM audiology appointment at the UofM Health Brighton Center for Specialty Care.  The audiologist (Sheri) was great, and it was a pleasant/interesting experience.  I’ve had my hearing tested before, but it’s been quite a while, so I no longer recall when or where it was done, or what the results were.  Today’s testing included examining the movement of both eardrums before testing my detection thresholds (faintest sound I could detect at various frequencies).  It also included a test of bone conduction and my ability to correctly identify spoken words from a recorded male voice.  The bone conduction test was interesting to me because Linda had a BAHA (bone anchored hearing apparatus) before she got her Cochlear implant, and I have recently seen ads on Youtube for headsets that rest on the bone in front of the ear rather than in the ear canal.

My hearing in both ears was in the “normal” range up to about  5 or 6 KHz (5,000 to 6,000 cycles per second), and about the same for each ear.  I do not know, however, if “normal” was an age-adjusted metric.  From 6 KHz – 8 KHz, my threshold increased in volume for both ears, with one of them slightly more affected than the other.  A graph of the data was displayed on a monitor in the soundproof booth and Sheri explained what it meant.  The upper end of the frequency scale was 12 KHz, but my hearing was only tested up to about 10 KHz.  I am not a strong candidate for hearing aids (frequency selective amplification devices) at this point, but might benefit from them in certain circumstances, and might need them all the time in the future.

I was aware that “normal” age-related hearing loss affects the highest frequencies first, so the results were not surprising.  When I was a teenager, and probably into my 20’s and 30’s, I was able to hear sounds as high as 20 KHz.  This was important for the full enjoyment of music, which was the major focus of my life from ages 10 to 21.  Music still sounds fine to me (which is not the case for Linda), but that is no longer a major concern.  My hearing is still good in the frequency range for human speech, although the roll-off in higher frequencies would affect my ability to understand females more than males.

Sheri suggested I return in one year and have my hearing tested again.  Not that she expects my hearing to change much in just one year (barring an accident or illness), but today’s measurements will only provide a baseline for future data.  Two measurements will identify if my hearing is changing and. If so, by how much.  When I was doing data analysis work as part of my last employment, conventional wisdom was that it takes a minimum of three data points to establish a trend, and more points are better, so I might go back again in two years, or perhaps skip a couple of years before testing again after next year.  But that will also depend on what the audiologist recommends after each visit.

On the way home, it occurred to me that we might want to go ahead and donate our dining room table and (4) chairs, along with the buffet cabinet, to the local Habitat for Humanity ReStore sooner rather than later.  We have been discussing this for a while and had already started looking at possible replacement furniture, but the new insight was that donating it now would mean we did not have to find someplace in the house to store it while the oak floor was being refinished (in October).  Linda was onboard with the idea, so I called the local HfH office when I got home and left a message.  They called back and indicated they were approximately two weeks out for donation pickups, and that someone would call next week to set up a date.  I was reminded that all items needed to be in the front of a garage or outside; their employees will not come in the house to collect items.

Keith arrived to mow the property while I was at my appointment.  It was a nice day for mowing and, as usual, he did a great job.

Some wonderful fungi growing on the north side of the base of the large oak tree by our first driveway entrance.  I’m not sure exactly what they are, so I do not know if they are technically mushrooms.

The new Tripp-lite UPS & surge protector arrived today, several days after Amazon originally said it would be delivered.  To be fair, they provided updates on the delivery date.  I unboxed it and plugged it in to let the battery fully charge.  It is NOT a LFP unit, using an SLA (sealed lead-acid) battery instead.  The instructions said it could be mounted vertically on a wall, however, which was our use case.  The battery is easy to replace, and are available from EATON, which owns Tripp-lite.

This is a smaller, less powerful, unit than the big ones we have, but will be more than sufficient for running the small network switch that is mounted on the wall by Linda’s desk.  That switch is currently powered by the large Tripp-lite UPS that also powers her laptop computer, calculator, and the small canon ink-jet printer that she keeps on her desk.  The reason for the new UPS is that we are going to temporarily move her desk into our bedroom while the hardwood floor is being refinished, and the large UPS has to move with it.  The small switch will remain by her normal desk location, and needs UPS protection to avoid network interruptions from a loss of utility power.  Indeed, all network-related components in our house are plugged into UPS units, as are all computers, monitors, printers, the Synology NAS unit, and most of the media equipment.  We also have a whole-house generator, but it takes a few seconds to start and come online once it detects a loss of utility power, so the UPS units fill the gap, and provide power for some amount of time in the event the generator fails to start.

I had the garage doors open for much of the day to air out the space and let it cool off.  The high temperature today never reached 70 deg F, and we have a string of 3 to 4 nights coming up with lows in the 40’s.  That’s early fall weather for our part of the country, but we’ll take it.  We will be well up into the 80’s again by the weekend, so summer is not over yet.

When I closed the small garage door it stopped and went back up.  I pushed the button again and it went almost all the way down and then came back up.  I tried a 3rd time to close it and it went most of the way down, stopped, and jammed.  Whaaat?  I examined it and discovered that the vertical track on one side (opposite the motor operator side) had come loose from the wall and twisted.  I also noticed that the lift cable on the end by the motor operator had come out of its pulley wheel and started to wrap around the spring shaft.  Nothing for me to do at that point other than text Dan (Everlast Doors) and let him know.  He texted me back quickly and said he could be here around 7:30 PM.  While I thought it would wait until tomorrow, he was concerned that the garage was not secure as the bottom edge of the door was not touching the floor.

Linda set up a 5:30 PM ZOOM call with Paul & Nancy.  We had a good chat, and it was fun, as usual.  After dinner we watched the PBS coverage of the Democratic National Convention.

Dan showed up when he said he would.  He disconnected the door from the motor operator (there’s a pull cord for this), got the door unjammed,  got the lift cable back on its pulley wheel, and got the door all the way up.  I then moved Linda’s car outside.  He lowered the door onto the floor manually, I set the deadbolt latch manually, and the garage was secure for the night.  He offered to return tomorrow to fix everything correctly, but Thursday was better for us, and turned out to be better for him as well.  Until then, Linda’s car would live outside, which has for most of the time we’ve owned it.

20240817_Lots-of-balls-in-the-air

NOTE:  This is a longish post with no photos.

 

SATURDAY 17 August 2024 — BdW guests leave & arrive, overseas travel planning, wood floor refinishing, DR furniture donation (HfH), ACI CPP via HH/BW, e-waste recycling and UofM Health.

Mike & Sheila came to front door to thank us for hosting them and say “farewell until next time” before pulling out.  Not long after they left I got a call from our Ontario, CA friend and fellow bus nut, Bill G.  I had commented to Linda several times over the last week or so that I needed to call Bill (and Marty, and Ed), but he beat me too it.  This happens a lot.  We had a nice/long chat, mostly about house/shop projects and cruising.  He and Karen have been going on at least an annual (January) cruise for years and are much more experienced cruisers than we are.  They have mostly sailed on Royal Caribbean, so they have a lot of loyalty points, but they are doing a Princess Cruise Lines repositioning cruise in the spring of 2026 from Ft. Lauderdale, Florida to Southampton, England because Royal Caribbean does not offer a similar cruise.  We will have to check the PCL website, but it sounds like the same cruise we are doing in the spring of 2025, with perhaps slightly different ports-of-call on the European continent.

After the phone call, Linda helped me load the electronics we were recycling into the back of the F-150 and drove to the county e-Waste recycling location.  The line was short, and I was in and out in very reasonable amount of time.  On the drive out of the facility, the line of vehicles coming in was backed up all the way to road, a considerable distance.  Timing is everything, and good luck helps a lot.

When I got back home, Linda and I had a long conversation about the floor refinishing project and its implications for the house and our ability to use it while the work was ongoing.  She has wanted to replace the dining room table and buffet/sideboard for a while now.  They are matching pieces to the living room and recreation room furniture that we have already donated to the local Habitat for Humanity (HfH) ReStore.  Most of our bedroom furniture is also from this same Bassett Mission-style product line.  We bought all of it the J.C. Penny store in NOVI, Michigan many, many years ago.  We still like it, but we have gotten our use out of it and are ready to pass it on to some who can use it, and getting something different for our house.

There are quite a few things we have to do before the floor refinishing work commences, and a few things we have to do after it is completed.  It was time to make a list.  The decision to donate the furniture, for instance, was a result of thinking about this task list.  By donating it we won’t have to find a place to store it.  And, we won’t need to replace it until after the floor project is done.  Genius.  This decision, of course, led us into an online search for a new dining table and buffet/sideboard.  More to come on that in future blog posts.

We have been in this house for just over 11 years, and plan to still be here for more years than that.  The recent flurry  of projects is motivated by wanting to refresh and improve things now, so we can enjoy them for many years, but still have the house and appliances in nice condition if/when we decide we want/need to sell.

While we were working on task list, BdW guest RamTam19 (Randy and Tammy B.) showed up.  They were our first visitors this year (April 16), so they just pulled in and parked in our guest RV site.  Normally I have people stop in the street but they new just what to do and just went ahead and did it.  No problem, in this case.  I went out to help get them into final position.  It was starting to rain, so we only chatted briefly and I left them to make camp.  They will be here for 5 nights, so I hope we have some good weather and get a chance to chat.

I got a reply from Kathy G. regarding the ACI/HH CPP system.  She was on vacation, but replied promptly.  While not necessary, it was appreciated.  She indicated that she was meeting with the ACI Executive Director and the HH software team on Wednesday, and would share my e-mail with them.  I replied to her e-mail, and reiterated the details of an unresolved concern regarding the logic of the BdW stay request system.

I spent the rest of the afternoon working on blog posts, and e-mail.  I received an e-mail a few days ago about the passing of a long-time member of the South Lyon Area Amateur Radio Club (SLAARC), Larry G.   Larry (K8UT/SK) was a technical superstar, especially with computer networking, a highly skilled operator, and an important contributor to the Ham radio hobby in SE lower Michigan.  I received an e-mail today with the visitation information (tomorrow) and funeral Mass details (Monday).

Earlier in the day I got a message from UofM Health reminding me to check in for my upcoming audiology appointment on Tuesday.  I don’t think I have any serious hearing issues, but my new primary care physician in the UofM-H geriatric clinic sort of indicated that he would like a baseline measurement.  It’s been a long time since I have had my hearing tested, so this seemed like a good idea, even though insurance won’t cover it.  While logged in to do the check-in, I also checked for any new invoices or outstanding balances.  I did not have any.  Linda does a great job keeping our bills paid, as long as she knows about them.

 

20240715-21_Vision_&_Hearing

NOTE:  This shorter post contains one (1) photo with caption, taken by me (Bruce) with a Google Pixel 6 Pro.

 

MONDAY 15 and TUESDAY 16 July 2024 — Vision and Hearing

 

Monday 15 … Optical

By today, Linda was well on her way to recovery from her cold.  I was also a lot better, but definitely not fully recovered yet.  We had another fairly easy day, but I did test my new tri-focal glasses as well as my previous pair (from at least 8 years ago).  I was only interested in the distance portion of the lenses, as the reading and arm’s length prescriptions in my new glasses were fine.

My test setup consisted of a box of cat litter as a target; a white box with a solid blue panel, with white letters.  The large letters were ~ 3/4” high and the small letters were ~ 1/4” high.  I set the box on our patio table facing east so it was illuminated by the morning sun.  Beyond the box were bushes and trees at various distances, all well-illuminated.  I estimated the farthest trees to be about 130 feet beyond the target.  I secured the free end of my 100-foot tape measure at the front edge of the target and un-reeled it along the deck to the far east end, which turned out to be 70 feet.

The front panel of a box of Dr. Elsey’s Cat Litter served as the target for testing my new tri-focal glasses and comparing them to my old ones.  It was well lit with sunlight, and had both larger and smaller letters with good contrast, so it made a good target.

With Linda’s assistance, we noted how clearly I could see the letters on the target at increasing distances in 5-foot increments, starting at 5 feet from the target.  (Somewhere around 40 feet, we went to 10-foot increments up to 70 feet.)  We also noted how sharp things appeared beyond the target.  We did this first with my un-aided vision.  We then repeated this procedure with my new glasses, and then again with my old glasses.  What we found was that I could see the target fairly well without glasses out to about 45 feet, and that things farther away were less sharp, but not too blurry.  With my new glasses, everything was less sharp at every distance, getting worse with increasing distance.  With my old glasses, however, the target and everything beyond was sharper at every distance compared to my un-aided vision.

I had a return visit at 16:00 with our new optometrist at the Kellogg Eye Center (KEC) at the UofMH-BCSC.  I shared the results of my testing with the technician, and again with the optometrist.  The technician did not really seem interested in my test, re-checked my eyes, and then checked my new tri-focal glasses as well as my previous pair.  She basically told me my new glasses were fine.  Uh, no, they are not.

Fortunately, the optometrist listened carefully, took my concern seriously, and acknowledged what I needed my tri-focal glasses to do.  She re-tested my eyes and came up with a revised prescription.  She even took me to an outside window with a view of several signs in the parking lot at various and considerable distances.  She held up additional corrective lenses until I could see the signs clearly and then finalized a new prescription.  If my replacement lenses achieve the same clarity, I will be very satisfied.

Rain was in the forecast again for today and overnight, which probably meant our lawn care guy (Keith) would not be able to mow tomorrow.  Such are the vagaries of weather-dependent work.

 

Tuesday 16 … More optical, and an online Cochlear meeting

Well, it did indeed rain overnight, a lot.  We had standing water around the property and mowing the grass did not seem prudent.  Keith texted me around 8 AM to see what the situation was and we agreed that he would skip mowing our property this week.  Unfortunately for his, his makeup day is Monday, so if he cannot mow us on Tuesday (our regular day) it has to wait a week, or I have to do it.

Our Boondockers Welcome guests, Dave and Martha T., left around noon.  Their next stop was the Jellystone Family RV Resort in Frankenmuth, Michigan.  We will be there in early Fall.  When they had left, I headed to the SVS Vision Optical Center in Brighton with my new tri-focal glasses and my revised prescription.  The optician was very helpful and it did not take very long to return the glasses and get the new prescription ordered.  There will not be a charge for the replacement lenses as I was well within the 45 “no questions asked” return/adjust period.

Back home, Linda had a 4 PM online meeting with a representative from Cochlear.  There was another woman (client) in the meeting, and I sat in out of curiosity.  The meeting was conducted using Microsoft Teams, but Linda did not have to install anything on her laptop computer.  (I had to use MS Teams back in June 2022 just after we entered Canada.  I was randomly selected for a CoVID-19 test, and the test had to be monitored by someone online.  I used my iPad Pro, and had to install the MS Teams app.)  The reason for the meeting, was that Medicare covers the cost of replacing a Cochlear device every five (5) years and Linda was now eligible for a replacement.

Cochlear is always working to improve their products, and Linda was excited about getting the newest version of the external processor.  Cochlear handles the entire order and delivery process, coordinating with our BCBS Medicare Plus health insurance and with Linda’s audiologist.  The new processor will be shipped directly to our house, and will be pre-programmed with the current settings as last determined by the audiologist.  Linda had already uploaded a lot of information to Cochlear, and the purpose of the meeting was to finalize the details on what she wanted, including a choice of accessories.  Of no small importance, we learned that Linda does NOT have to return her current processor, but will retain it as a backup.