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Joined: May 2008
Posts: 4,707
L
Master Elite Member
****
This is a good site. ((( Smiles )))

Being a former mack gal myself and a muff and a bose gal as well..
Though I no longer use theses products like I use too.
I mostly use my fingers and muffs but very rarely like with
the vacuum.
But after getting a more quiet vacuum and with my hyperacusis improveing more as ..
I'm like cured now.
I don't use the muff's with the vacuum anymore..

http://www.macksearplugs.com

8. Are there any earplugs on the market that block out 100% of the noise?

The highest noise reduction rating (NRR) currently offered by an earplug is around 33 decibels.
If you refer to figure 1 in question #7, you will find that decibel levels up to the earplug's NRR rating
(in this case 30 dB, which is typical of soft music), will be blocked out entirely.
Any noise over the earplug's NRR may be heard.
Another important factor to note is that the body absorbs sound;
so short of encapsulating oneself in a sound proof chamber,
it is seemingly impossible to block out all noise.
Earplugs and other types of hearing protection devices are designed to take off the harshness of the noise..
and bring it down to a safer, more tolerable level.

Joined: May 2008
Posts: 4,707
L
Master Elite Member
****
As on the hyperacusis network the catagories of H..
When sounds sound super duper loud even soft sounds and hardly any decibles being loud..
Expecially when one has severe to profound Hyperacusis..
It's hard to shut out any sounds things don't sound quiet anymore as the volume is turned way up and stuck on high..
Especially if one is in the catagory 3 or 4 section..
I was recorded in the 50 to 51 level of tolerances and that was how far I could push it on the test before my complete collapse..
plunge of tolerances where whispering sounded like being yelled at screaming at you loud..
Where I developed strong ear pain and phonophobia ect..
I had to take to my room it got so bad for me back then..
And gradually build my way back up.

Category 1

Hyperacusis has little impact on the patients life. Sounds reaching 80-85+ decibels require ear protection only because the patient feels they have sensitive hearing.
This patient also may feel inclined to protect their ears in loud environments because tinnitus (ringing in the ears) is noticeable after prolonged sound exposure.
The patient may also feel some degree of fatigue after prolonged sound exposure or feel a slight pressure or feeling of fullness in their ears when sounds are near or above 85 decibels.

Category 2

Hyperacusis moderately impacts the patients life.
Sounds at 65+ decibels (talking/normal conversation) are perceived as loud.
Mainstream living is challenging.
The patient seeks controlled sound environments and starts interpreting all daily events in terms of the noise that might potentially be produced.
Misophonia (dislike of noise) may become a problem.
A feeling of fullness in the ears and/or burning at times is felt by the patient.
It is critical that the patient seek help from a qualified hearing clinician who administers sound retraining therapy (TRT - Tinnitus Retraining Therapy).
A patient's Loudness Discomfort Levels (LDL's) are established by the clinician and a protocol is prescribed to re-establish the patients sound tolerances.

Category 3

Hyperacusis is a significant problem.
Sounds at 50+ decibels (background noise/soft music) are perceived as too loud.
Mainstream living is very difficult.
The patient seeks isolation not only dealing with their collapsed tolerance to sound but now in a more pronounced symptom called phonophobia (fear of noise).
The patient seeks controlled sound environments and interprets all daily events in terms of the noise that might potentially be produced.
The patient has a tendency to wear ear protection too much which ultimately may make the ears even more sound sensitive.
A feeling of fullness in the ears and/or burning is very pronounced.
It is critical that the patient seek help from a qualified hearing clinician who administers sound retraining therapy (TRT - Tinnitus Retraining Therapy).
A patient's Loudness Discomfort Levels (LDL's) are established by the clinician and a protocol is prescribed to re-establish the patients sound tolerances.
Anxiety, lack of sleep, pain in the ears are common and must be treated in addition to sound retraining therapy (TRT) for the patient to recover.

Category 4

Hyperacusis is at a crisis level.
Sounds below or significantly below 50 decibels (whispering) are perceived as too loud.
Mainstream living is not possible.
The patient is isolated and barely able to communicate because they cannot even tolerate the sound of their own voice.
Talking to others, speaking on the telephone, listening to television, running water, even the sound of wind outside is overwhelming for the patient.
If catagory 4 severe hyperacusis comes on suddenly the patient's world is turned upside down.
It is difficult for them to even live in the company of their family (particularly if there are small children).
Some patients this severe may be able to produce audiograms proving they can hear at minus decibel levels.
Anxiety, lack of sleep, depression, strong ear pain, and phonophobia are common problems due to severely collapsed tolerances to sound.
Special considerations (over and above sound therapy) are needed to help this patient in crisis so they can slowly regain their tolerances to sound.
Anxiety and sleep deprivation must be aggressively treated by the clinician so the patient can be motivated to start sound retraining therapy.
Although medication is generally discouraged for hyperacusis patients it may be needed on a short term basis to allow the patient to finally rest at night,
reduce their anxiety level of dealing with the onslaught of all sounds being too loud and see that there is light at the end of the tunnel.
This is critical for this patient in crisis.


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