Breaking Barriers ACTION - information, campaigns, ClearMask
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Company president Allysa Dittmar Breaking Barriers ACTION PEOPLE EXPERTS information, campaigns, interview, opinion, diary, biomedical, information, services experience technology
CONTENTS On their last day at Blanche Nevile secondary school, deaf students Kimberly (left) and Roumy, friends since they were eight, look forward Action People to going to college. They were photographed 04 FIVE FACTS 14 FORGING A PATH by Stephen Iliffe as part Spotlight on our Information Farrier Mark Rudge on why of his portrait series at Line manager, Rachel Cox horse power is the driving www.deaf-mosaic.com force in his life 06 CAMPAIGNS A new, potentially life-saving 17 OPINION 999 video relay service for Our regular columnist Jean Experts sign language users and BSL Straus on summer travels legislation Bill breakthrough 18 A PARENT’S DIARY 30 WHAT’S IN THE 08 GIFT OF A LIFETIME Tried and tested tips on how PIPELINE Why gifts in Wills are so to enjoy a stress-free day out We’re funding research that important to RNID – and as a deaf parent could lead to exciting new how it’s a gift that keeps on treatments for hearing loss giving 20 COVER INTERVIEW and tinnitus within 10 years Allysa Dittmar turned one of 10 AHEAD OF THE CURVE the worst days of her life into 32 ASK THE INFO LINE How our new quick and easy a mission to help others A new feature in which our online check to detect expert Information Line hearing loss can help those 24 MAKING A CHOICE team provide practical and affected get support sooner Vera Brearey explains her emotional support decision not to pursue sign language training 34 TECH TIME TRAVEL To celebrate 110 years of 26 TINNITUS AND ME RNID history, Kevin Taylor In a new feature on people’s looks back at more than 30 experiences of tinnitus, Hilde years of assistive technology tells us what gets her through 38 IT STEMS FROM HERE 28 READ MY LIPS Dr Faizah Mushtaq, one of Lipreading classses are our former PhD students, on underway for a new term her career in hearing research As the days get shorter and the nights draw in, we are all likely to find ourselves stuck inside more as summer fades. So I’m delighted to bring you your latest magazine issue full of insight, interest and, we hope, inspiration for the months ahead. Dawn Dimond, Editor 3
Information 5 facts about CAMPAIGNS I INFORMATION I SERVICES RACHEL COX 3 1 2 I have worked for We’re a small team Recently, the top enquiries have been RNID for nearly 15 of only five and, on around equipment, audiology provision, years, mostly for the average, the tubing and batteries, equal access to Information Line. I can Information Line information, benefits and masks/face honestly say I love my deals with around 25,000 coverings. We also support people who are job. We are often the enquiries each year! experiencing feelings of loneliness and During the pandemic we depression via our Tinnitus Helpline. first place someone will go to share their had extra support from five concerns, worries and Regional Information 4 fears about hearing Managers, which was I live in Peterborough with loss. Information can vital in helping us expand my husband and two young be life-changing and I our reach to those children. In 2017, we bought genuinely get great who needed it. a new house and started a satisfaction from massive renovation project helping others. – we’re well on the way to having our dream family 5 home. I used to be a See our new Information competitive Line Q&A feature on p32 swimmer in my teens – swimming for the County, Midlands and at National level. This taught me many life skills like the value of hard work, high levels of commitment and dedication to my training of 2-3 hours before and after school, 6 days a week, from a very young age. 4 RNID I AUTUMN 2021 2021 21
Campaigns LIFE-SAVING SUCCESS FIRST STEP IN BSL BILL A new 999 video relay service The House of Commons the principle of the Bill and which could potentially save will debate the need for BSL allow it to proceed for at least two lives a year will be legislation in January after a further scrutiny. introduced for British Sign backbench MP introduced a RNID has been working Language (BSL) users by BSL Bill. as part of a cross sector next June, Ofcom confirms. Rosie Cooper, MP for campaign group led by the RNID has welcomed the West Lancashire, was one of British Deaf Association news, having campaigned 20 MPs drawn in the Private (BDA) to campaign for the with SignHealth and the UK Members’ Bill Ballot, which introduction of a BSL Bill. Council on Deafness for the allows backbench MPs to Between now and January, 999 emergency phone line to bring forward a piece of we will engage with MPs be accessible to BSL users legislation for consideration. and Ministers to reinforce since 2019. She used the opportunity to the importance of the The video relay service propose that BSL is legislation, and the difference enables a deaf person to make recognised in law as a it could make to the Deaf a video call to a BSL language and that the community. We will also interpreter, who will then government publish guidance support the Deaf community FIGHTING YOUR CORNER relay the call via the phone to relay service and asking for and plans to ensure that Deaf to lobby their MPs and have the 999 call handler. feedback from signers can access services their say on the Bill. Some of the details will be telecommunications Rosie Cooper, and receive information in Although it’s unlikely that finalised over the coming providers and also the Deaf their first language. Rosie’s Bill will make enough months but here’s what we MP for West community. We set up a The Bill will receive its progress to become law (her know so far: How we’re campaigning to bring down the barriers Facebook group where BSL Lancs (below) Second Reading 28 January, place in the ballot means ›T he service must be our communities face in society users could share their in the House of at which stage MPs will have there is little chance the Bill available by 17 June 2022 experiences and feedback Commonso to decide whether to agree will be passed in this session › I t will be available through ›A ll BSL interpreters will be Until now, SMS and text relay and over 4,000 people joined. of Parliament), this is still a a mobile app and website registered and have services were often the best There was overwhelming great opportunity to and users will not need to appropriate experience option for Deaf people support for providing BSL highlight the needs of the register in advance ›E mergency text relay and contacting 999. English has a access to 999, and ensuring Deaf community. RNID will › I t will be available 24/7 and emergency SMS will completely different structure equal access for all to use this to work with the completely free to use continue to be available. to BSL, so reading and emergency services. BDA and other charities to writing in English can be We’re so grateful to all of build support for the Bill in difficult for BSL users – and you who provided feedback Parliament and to influence especially in a stressful or and helped us to achieve this policy changes that make real “We are thrilled with Ofcom’s decision to make dangerous situation. This can lead to delays in getting the life-saving change. We’ve encouraged Ofcom to keep and lasting improvements to services for BSL users. 999 accessible in British Sign Language. We appropriate support, which working with the Deaf Photograph: Shutterstock can have life-threatening community until the service are proud we have achieved something which consequences. is up and running to ensure In response to our petition that it’s fully accessible. We Stay up-to-date with all our campaigns will ultimately save lives.” Roger Wicks, our Associate of 874 signatures, Ofcom ran will continue to share and find out how to join our Campaigns Network Director of Insight and Policy, is grateful to everyone involved public consultations setting opportunities for you to have at: rnid.org.uk/campaign-with-us/ out the case for a 999 video your say along the way. 6 RNID I AUTUMN 2021 7
Information A gift that keeps on GIVING “ I have always been a very sociable, people- With live cultural events suspended, I’ve been loving person. As a music teacher, being able spending a lot of time on YouTube enjoying to organise and motivate people was an extremely performances of familiar music. I’ve found lots of free important aspect of my life and the kind of activity downloadable music scores online and they act like that made me thrive. subtitles for the music, so I can read what’s going on From around 1975 I had increasingly intrusive in a performance. tinnitus, followed by the loss of high frequencies in My cochlear implant makes all this possible and 1990. Just over a decade later, I became profoundly everything in my life so much easier. When things deaf. For years I struggled with hearing aids and it was return to normal, I just hope that many more people David Leader from our gifts in Wills only when I received a cochlear implant in 2006 that I can experience the life-changing benefits of an team explains why including RNID in became truly aware of the importance of the research implant. projects funded by RNID. That’s when I decided to That’s exactly why I have left a gift in my Will to your Will can help change the future leave the charity a gift in my Will. RNID – so that research into future technologies can I I am very thankful for my cochlear implant and for continue, eventually allowing others to regain the the positive impact it has had on my life. soundtracks to their lives.” I’ve been especially grateful for it during the Stephen joined the team at RNID in April 2021 because us and shares his personal story of hearing loss and pandemic. When everyone is wearing a mask, lipreading becomes impossible so, apart from I have a close personal connection to hearing how RNID has improved his life. We’re all extremely exercising more often and enjoying green space, my loss. In my short time at RNID, I’ve already seen grateful to Stephen and others who have left us a wife and I have stayed home. Life online has become the incredible difference that gifts in Wills make to gift in their Will and helped to improve lives, both even more vital, so we can all keep in touch through people who are deaf, have hearing loss or tinnitus now and in the future. Zoom and all the other amazing ways that the and, of course, it’s a really touching and inspiring If you would like to know more about Farewill, internet provides. way of giving. As we plan for research projects that leaving a gift in your Will, or any aspect of RNID’s run long into the future, we need to know that we’re work, please email giftsinwills@rnid.org.uk or going to have the income we need to support these. call 0203 227 6034. We also rely on gifts in Wills during times of financial uncertainty, which I think we can all appreciate is more relevant now than ever before. How a gift in your Will can make a That said, my primary aim is to make sure that difference: everyone can easily make their Will, safeguarding • Fund research into life-changing technologies, like their own wishes, and their family’s future. RNID has Stephen’s cochlear implant. recently partnered with Farewill – the largest online • Provide information and support to people who are deaf and telephone Will-writing service in the UK* to help or have tinnitus or hearing loss, to help them to you with this. You can make, or update, your Will for overcome challenges and live a full and happy life. free with Farewill but we know that family comes • Campaign to change attitudes and make society more first and you are under no obligation whatsoever to inclusive of people who are deaf or have hearing loss. leave us a gift in your Will. NOW AND IN THE FUTURE * Farewill’s telephone service is available in England, Wales, Stephen (right), a long-standing RNID supporter, Scotland and Northern Ireland. Farewill’s online Will-writing explains why he’s kindly included a gift in his Will to service is available in England and Wales only. › 8 RNID I AUTUMN 2021 11
Services Check your hearing HOW THE HEARING CHECK CAN HELP Our new hearing check is an interactive tool on the RNID website. You listen to a series of recordings of someone saying three random numbers and key in what you hear. Based on your answers, the see an audiologist for a full hearing test. You can We’ve launched a free people with hearing loss. They then used the and encourage your friends and Gerry’s story check suggests whether your download a certificate of your online tool which lets you resulting feedback to hearing is within a normal loved ones to When I was in my 20s, I went to lots of rock hearing check result to share check if your hearing is launch an improved version range or whether you may check theirs, concerts and discos. I often had ringing in my have hearing loss. with your GP. You can also within a normal range in of the check on 17 May. like Gerry (right) ears afterwards but, at that time, we believed subscribe to information by It’s not the same as a full email about getting your just three minutes stay up to that the louder the music, the more you enjoy hearing test with an WHAT NEXT hearing tested. it! In my work as a lecturer, I often struggled to audiologist but it’s a reliable To date, more than 24,000 If it suggests that you do hear students asking questions but I had no way to find out if you actually people have taken our not have hearing loss, it hearing check and around idea I had a serious hearing loss. need one. recommends ways to protect 57% of these either have Later, I was employed by the International HOW IT WORKS your hearing in the future (or may have) hearing loss. Labour Organization (ILO), a United Nations The test measures how well (such as using earplugs for This means we’re helping agency for social and economic justice. I spent you can hear the numbers loud music events). people with early diagnosis more than 20 years journeying around the over background noise. The and intervention that may world with the ILO. level of background noise HOW WE MADE IT potentially mean less social In 1993 I had a meeting with the Vice stays the same, but the voice Our User Experience Team isolation and greater developed the hearing check President of Guyana. When he asked gets quieter and quieter. inclusion. It’s an effective way to with HörTech, a company The hearing check is me for a comment, I was unable to check your hearing because that makes technology for part of a wider service hear him over the noise of the air- many people with hearing hearing aid users. They also called ‘Get support online’ conditioner whirring away in the loss find it hard to hear worked closely with our with information to help background. I was mortified; it was speech clearly when there’s audiology, brand and people get, or make the so embarrassing. background noise going on. technology teams. most of, hearing aids. When I was on a home visit back If it suggests you have The team developed a We’ll continue to add new to Belfast, I was invited to give a hearing loss, you’ll need to prototype and tested it with topics to meet the needs talk at a large conference hall of everyone who might with a high ceiling and terrible benefit. acoustics. The talk went well “ but, in the Q&A session after, Such a quick and easy way to check for hearing loss a member of the audience – everyone should give it a go, even if you think your asked me a question and I just I couldn’t hear him. The hearing is fine. It recommended I get mine checked audience began to murmur and giggle with embarrassment for by a professional, so I will.” me – I could feel myself becoming Karen, Wiltshire anxious and that led to my tinnitus › 10 RNID I AUTUMN 2021 21 11
Services Gerry believes an online hearing check INTERVIEW I OPINION I DIARY I EXPERIENCE could help so many others 24,000 people have taken our kicking in. I asked the Chair if he could repeat the hearing check question for me. This was another occasion when I wished the floor would swallow me up. At the age of 52, I got my first hearing aids. If I’d dealt with my hearing loss earlier, I believe it would’ve saved me from many embarrassing moments. But because my work involved travelling from country a genetic disorder, known as MYH9 – and that early to country, I never had the chance to address it. I’m hearing loss is a feature of it. My younger daughter convinced that an online hearing check, that can be may have this condition as well. She helps with my used wherever you are, is a great tool to have. hearing issues and together we’re learning After I retired in 2010, it was discovered that I had the fingerspelling alphabet and basic sign language. On top of all of that, I’m getting older (now 73!) and my hearing continues to get worse. To check your hearing, go to: rnid.org.uk/ This online hearing check is a fabulous HearingCheck or to get further support, visit: development for my daughter, and many others. It rnid.org.uk/check will encourage them to get their hearing checked earlier – and not wait as long as I did! 44 RNID 12 RNIDIIAUTUMN SPRING 2021 2021
Interview AN OFFICE JOB WAS NEVER GOING TO BE FOR ME. I saw the stress my Left: Mark living the dad lived under; on a train before my brother and I were up for breakfast, outdoor life at his often home after we’d gone to bed, always with deadlines to meet. It forge in Aylesbury in wasn’t the life I wanted. the Chiltern Hills Dad always instilled in us that you have to earn what you want; nothing comes for free. So, when I was 14, I looked through our local newspaper to find a weekend job and saw an advert asking for help in a stable yard. I started working there part-time and enjoyed teaching young children to ride horses and ponies and being around the animals. I’d thought about a career in the army but, when I applied at 16, my medical flagged up a slight hearing loss. They could see from my records that there was a history of hearing loss on my dad’s side of the family. The college predicted firearm use would increase how quickly my hearing deteriorated and they turned me down. Farrier Mark Rudge tells Margaret Rooke why the I don’t wear hearing aids at work. It’s a dirty job; outdoor life is the only hot and sweaty one for him Horse My next idea was to become a vet but, in the summer holidays after my GCSEs, I worked full-time at the stables, out in the sunshine. I realised I didn't want to go back to school. As I started my A levels, I found myself power staring out of the window all the time. I didn’t want to be cooped up – I wanted to be outside. I dropped out and got a full-time job at the stable yard. I got to know the farrier who came to care for and shoe the feet of the horses and ponies. I liked the idea of this physical work and I found a farrier to take me on for a four-year apprenticeship. Photographs: Inigo Alcaniz Dad wore his first hearing aids in his 30s. I remember everyone talking loudly around him when I was growing up. For me, the cue to getting my hearing checked was having to turn the TV volume up higher and higher, to the point where it was becoming uncomfortable for anyone else in the room. If there was a group of us sitting round a table, I’d struggle to keep up with the flow of conversation. › 14 RNID I AUTUMN 2021 15
Opinion Whatever goes money for my current hearing aids, and, when I told him I was good as it was, the expressions against you in life, and I won’t risk damaging them. hard of hearing, his eyes on both his and his bride’s you work through But it’s not just the money, it’s the inconvenience of being without one smiling, he ushered me to the business class check-in, and face, and their body language, gave me all I needed to feel it and keep on if it’s broken or if the battery goes. If I only have one hearing aid, I feel whispered something to the woman behind the desk. From warm and gushy. The festivities themselves doing your best unbalanced. At least now I have my NHS aids as a back-up. a distance she lowered her mask, spoke slowly and made were often accompanied by loud pounding music. As I One problem with not wearing sure I understood everything stood with other guests trying hearing aids at work is that if I don't have eye contact with the horses' owners, I have no idea IN PERSPECTIVE I needed to know. You see, I told myself, people want to to converse, I had moments of resentment – until I noticed they’re talking to me. If they’re on the other side of be of help. they couldn’t hear me either. the horse and we have 500kgs of animal between This summer has been a During the flight I wanted I realised I was lucky us, or if I’m working around my forge or anvil, then package of wonderful, to hear the dialogue in the because I, at least, had an I have no chance of hearing them. Before I had my unexpected holidays, with me movies on offer as well as read excuse for why I was no longer hearing aids, some people thought I was stuck-up managing preparations with the captions. However, I even attempting to talk. and arrogant because they’d ask me a question the usual questions of how struggled, despite putting the Sometimes with a disability and, if I hadn't heard them, it would seem like I'd will I hear/not hear, along earphones over my hearing it can feel as if what is being ignored them. Now, with any new clients, I pre-warn with, what about Covid? aids. But lo and behold, there’s affected by it is the most them that I’m partially deaf and ask them to either While managing the latter hope out there because I noticeable or memorable I found myself learning to lipread to fill in the gaps. speak up or shout, and make sure we have eye was mostly a matter of discovered the entertainment thing about an event. Maybe I started wearing hearing aids eight years ago, when contact so I can lipread. This saves embarrassment paperwork, getting tests and system can be paired with it’s after the last 18 months of I was 35, but with everyone now wearing masks, it and miscommunication. taking care, I prepared my mobile phones. And so I’ll be being at home, missing family, has shown me that, even with hearing aids, I still rely I think my other senses are more highly-tuned to hearing for travel by making writing Virgin Atlantic, and bouts of isolation but this on lipreading to keep up with a conversation. make up for my lack of hearing at work. A horse can sure my hearing aids and suggesting they could go one trip reminded me that I don’t wear hearing aids at work though. It’s a dirty hear something coming a long time before we can. earpieces were wax-free, the step further and stream the sometimes it’s everything job; hot and sweaty. My ears can fill up with sweat I’ve learnt to read their body language, so when I’m charger was charged, its sound to hearing aids which outside of my disability that behind where the hearing aids go into the inner ear working on them and I feel them tense up or twitch, domes new and not torn. are themselves paired with makes for a beautiful occasion so it feels gross and uncomfortable. it makes me aware that something’s changed or Naturally I couldn’t prepare phones. They might even – the smiles, helpful gestures, I work in Aylesbury in the Chilterns and tend to wrong. It’s so important to make sure you have that for all life's eventualities – but increase their customer base! clinking glasses, wide eyes horses that belong to members of the public. I shoe awareness and understanding of animals before I discovered those depended During the wedding waiting for the vows to be for most disciplines in horse riding: show jumpers, coming into this line of work – whether you’re a on how I perceived my lot. ceremony, the rabbi agreed to spoken, and goodbye hugs. An dressage riders, and three-and five-day eventers. farrier, vet, dog trainer or working in a zoo. You have For example, as I wear my ReSound mini mic. overdue refresh, then, of my As well as the sweat, I’m out in all the elements to be switched on around animals because any approached the check-in gates But I panicked when the perspective and all the ways and I was having to get my hearing aids repaired or of them can be unpredictable – from a domestic on my way to Los Angeles for wedding couple said their ability manifests itself. replaced constantly because of water damage. They moggy to a tiger. my nephew’s wedding, I froze vows, far away from my Jean Straus had to be cleaned out from all the dust and other I was bullied at school but I inherited a mental with fear looking at groups of personal amplifier. I particles in the air at work and it was costing me a fortitude from my dad: whatever goes against you travellers speaking animatedly shouldn’t have! Dedicated to the memory of Nissim fortune. It’s still £175 for each hearing aid on the NHS in life, you work through it. All I need to do is keep on with personnel. How would I My nephew Marshall, who provided me with the if you don’t look after them – if you break two or three doing my best and being the best version of myself. hear over them to get myself gave me my subject matter for so many a week, you’re suddenly paying out serious money. checked in? Until a uniformed own copy of his columns over the past nine years. Now I’ve gone private. I’ve paid a hell of a lot of www.facebook.com/MarkRudgeFarrier gentleman approached me speech and, 16 RNID I AUTUMN 2021 17
Diary A fun day out? I haven’t paid full price. Subtitling for audio and video material seems to be more widespread now, too. within a couple of hours, with the background noise of hundreds of children playing with loud experiments all Vicki, who is severely deaf, is a working mum always assumed that such At a planetarium recently amplified by my hearing aids! discounts were more for with my girls, they offered at My final frustration is lack with two young daughters physical disabilities, in the least one subtitled showing of choice. I hardly ever go to same way as blue badge every day, together with the the cinema or theatre, largely G oing out with the hear video or audio material, the staff member told me I parking. However, a couple of discounted ticket, which was due to lack of accessibility – children as a deaf parent which can prevent me from spoke “too well to be deaf ”. It years ago, with considerable brilliant. Even if something and when I do, it’s really hard is certainly an joining in properly with the really shook me up to be nervousness, I booked my isn’t advertised, it’s always to find subtitled showings, experience. As well as all the children. More worryingly, in doubted, and feeling like I first disabled ticket for a day worth asking ahead of time. and almost impossible for normal planning and packing some places, not having had to justify what was, at the out. I went prepared with my I’ve learned that, children’s films. I have, for any child-related proper deaf alerting in place time, a very personal element PIP letter of approval somewhat counter-intuitively, however, found that some of eventuality (can you ever have could end up as a safety issue. of myself. (Personal Independence my deafness can have an the smaller independent too many snacks?), we have a A while ago, I got stuck on a However, that one person’s Payment, which replaced impact on my enjoyment of a cinemas more than rival the whole other level of stress in broken ride, in the dark, at a response has been far Disabled Living Allowance), day out if there’s too much multiplexes for subtitled order to achieve a successful theme park and had no idea outweighed since then by convinced that someone noise. On a family outing to screenings – and they tend to day out. The extent to which what was going on as I incredible staff willing to go would (again) not believe me. an open plan science be far cheaper, so it’s not all my deafness has the ability to couldn’t hear the voiceovers, the extra mile to help, or even I needn’t have worried – I museum, I was overwhelmed bad! affect – or sometimes even or lipread anyone in the just to treat my access needs wasn’t questioned at all (my ruin – a day out depends a lot room. Luckily, the children as perfectly standard and easy hearing aids seemed to be on where we are going, but were on another ride with to meet. Something I’ve not proof enough) and off we Here’s my tips for enjoying a less stressful day out also the attitude and family, but it was pretty scary tried yet, but which several went into the attraction, a as a deaf parent: awareness of the staff. to feel that vulnerable, even deaf friends recommended few pounds richer! Plan ahead – is there likely to be an audio element? If so, have a look on Outside trips like a zoo or when I just had myself to when going to get their For most places, such their website or email to find what provision there is in terms of subtitling gardens are unlikely to be a look after. vaccines surrounded by mask tickets are full price, or or transcripts major issue, largely because I’ve found that the deaf wearers, is to get a sunflower slightly discounted, and the If you’re likely to be overwhelmed by background noise, have a plan – maybe there’s not a lot to listen to, awareness and basic kindness lanyard from ‘Hidden ‘carer’ ticket is free. Whilst I an hour or two inside an attraction, with a break outside if you can other than keeping the of staff has a huge impact on Disabilities’ to flag up that you don’t really love the Look into discounted tickets if you qualify. Some places say the attractions children safe and occupied. how included and welcome I have additional needs. These implication that disabled require specific proof, such as a PIP letter; others don’t Anything museum or history feel. Several years ago, I had a are now widespread enough to people are dependent on a Consider getting a sunflower lanyard based, though, is much more horrible experience the first be recognised in shops and carer, in reality I’ve found Do some research and consider less likely options for subtitled film likely to cause me problems. time I ever asked for help in a other venues, so staff can that I’m normally with screenings – you may find some local hidden gems! It can really spoil a day out if museum. When I requested a discreetly check what extra another adult when I take the we get somewhere and I can’t transcript for their audio tour, help you may need. children out anyway, so it’s A gamechanger for me less of an issue. I’ve also recently has been my found that the saving is Want to know more? discovery that, as a deaf especially welcome in places For more information on what benefits person, I can often take which have a big audio (such as PIP) you may be entitled to, go to advantage of discounted component, as I feel less our website at: rnid.org.uk/benefits tickets for attractions. I’d annoyed about missing out if 18 RNID I AUTUMN 2021 19
Interview Entrepreneur Allysa Dittmar, profoundly deaf remember, I’d depended on visual cues, sign family; my deafness is the result of a rare gene. My since birth, tells Margaret language, and lipreading every day of my life to father, who worked in our family’s insurance agency Rooke how a distressing connect and converse with others. Even for people for nearly his entire career, and my mother, who left surgical experience who can hear, so much of communication is in the her career to raise my older brother and I, did all they face. For me and others who have hearing loss, could to support me. led to her co-founding access to facial expressions is everything. ClearMask, now employing What happened to me in that operating theatre ACCESS TO THE WORLD 250 people, and earning six years ago never left me. In fact, it launched But I felt different, growing up. It wasn’t easy being her a place on the Forbes my career in public health and advocacy. I knew I deaf in a hearing family and in a hearing-dominated didn’t want to go through another dehumanising world. I felt like the only outsider in many situations under-30 list of top experience, or have it happen to anyone else. There – socially, academically; even at home. Whether it innovators to watch had to be an alternative to traditional masks that was at the dinner table or on the school bus, I knew CLEARLY hide so much of our faces away, remove human I was not like everyone else. connection, and leave us questioning what’s being Looking back, the best way my parents supported communicated and expressed. me was turning to the deaf and hard of hearing I was born in New Jersey, USA, into a hearing community for guidance and support and choosing sign language as my primary language. They aimed to do all they could to help me thrive in both the GOING hearing and deaf worlds. They decided to send me to a state school for the deaf until I was five and then into mainstream education with sign language interpreters. There, Left: Allysa, aged 5, was PLACES my interpreter and I taught my teachers, classmates, born into a hearing and friends some signs. It wasn’t perfect, but it made family. Below: ClearMask a difference. I was determined to do well in school in use in the classroom and so many people worked hard to support me. But ever since I was young, I knew my education experience was different. I had to put in more As I was being wheeled into surgery for an operation hours to catch up on what I may have missed or not a nurse told me quite suddenly that, due to an understood during my classes, all the way through administrative error, the sign language interpreter from elementary to graduate school. I never wanted I’d requested to assist me wouldn’t be present. I to miss out on anything. I view that as everyone’s have been profoundly deaf since birth and this was fundamental right – access to the world. shocking news, presented to me at a shocking time. Everyone who helped me during my education Inside the operating room, I was unable to read the built my sense of confidence as a young deaf lips of my surgery team or see the expressions on woman, capable of doing anything I set my heart their faces. Their masks hid all of this. I presume they and mind to do. gave me instructions, asked me some questions, After high school, I attended the Johns Hopkins maybe said a few words to reassure me – but I University to study for an undergraduate degree in couldn’t see any of it, not even a smile. public health. I was the first student there to use The whole experience felt dehumanising and interpreters. It had never occurred to me to take a unsafe. I was 23 at that time and, ever since I could safer option and choose a school more experienced › 20 RNID I AUTUMN 2021 21
Interview Left: Allysa, President of ClearMask, with one of her co-founders and company CEO, Aaron Hsu with deaf students. I always wanted to go to the I don’t think I’ve ever Below: a physical therapist wearing ClearMask best college, no matter how challenging it might be. Many of my professors and classmates had never been as busy as I am met a deaf student before, so it was a daunting and isolating experience at times. I spent many hours now, often working and significant effort educating those around me, but I realise this was teaching me to become a 80-hour weeks well-seasoned and practiced advocate for others. By showing professors and other students what I needed, I was explaining what others needed, too. While at college I faced the deepest tragedy in my personal life when I lost my mother to suicide. We’d been extremely close, and my world turned upside down. I learnt in the worst possible way about the importance of mental health and equal access to healthcare, not only for deaf and hard of hearing people, but for everyone. This immense loss could have derailed me, but I’ve always tried to turn my challenges into something for the good, as difficult as this can and mass-production. We finally submitted our As soon as we saw the pandemic was becoming a schools, clinics, and social support groups. For so sometimes be. product, ClearMask™ to the US Food and Drug full-blown public health crisis, our team met to come many different groups of children and adults, it’s I continued with a Master’s degree and made Administration and received clearance in April 2020 up with a rapid roll-out plan. We made decisions in incredibly helpful to see the facial expressions to the decision to study health disparities within the as the world’s first and only fully transparent mask just days instead of weeks or months. build rapport and understanding. deaf and hard of hearing communities at the Johns approved by the FDA. We started shipping them out I remember taking a flight a day before the crisis I don’t think I’ve ever been as busy in my life as Hopkins School of Public Health. I’d experienced a month later. was formally declared a public health emergency in I am now, frequently working 80-hour weeks. My barriers in accessing healthcare long before my the US. I looked around and saw some people on the education has trained me well for working harder and surgery experience. Statistically, deaf individuals KNOCKING DOWN BARRIERS flight wearing masks. It seemed so odd. I had the adapting constantly to the environment around me. experience worse health outcomes than their It turns out that our biggest customers have not realisation that masks were going to become the Just like I did at school, I educate others on how best hearing counterparts for many reasons, including a been the deaf and hard of hearing communities norm for some period of time and that this would to communicate and work with me on a daily basis, lack of access to quality communication in medical but international, national, and state governments; be a significant communication barrier for all of us, through interpreters, Zoom, and the written word. care. Nothing could be clearer: we need qualified hospitals who purchase them for paediatrics, older but especially for deaf people. More than 55% of Yet, even now, I have moments where I wish I interpreters and culturally competent medical staff individuals and patients with dementia; schools communication is visual for someone with typical hadn’t gone through my experience in the operating who’ve had appropriate training; elements that I’ve who use them for early childhood education or hearing. This percentage is even larger for deaf room. It actually makes wearing a mask difficult for rarely experienced in my life. specific student populations such as children with people. For people who communicate through sign me, often reminding me of what happened six years The other thing we need are transparent masks autism; and businesses who support a positive and language, access to the full face is vital. ago. But I’m so aware that millions have been helped that show the full faces of caregivers, providers, safe customer experience and workplace. It’s been Altogether, we’ve sold over 17m masks worldwide by ClearMask and I know that this experience has and family. At Johns Hopkins, I organised a team of incredible to see a growing, widespread recognition with our message ‘see the person, not the mask’. only increased my focus and resolve. fellow students and alumni to design and create of how regular, traditional masks impede natural We’ve expanded from a team of just the four co- All my life, I’ve needed to knock down the barriers one. Our team spent three years on fundraising, communication. founders to more than 250 staff. and challenges in front of me; to stand up for myself research, customer validation and product Of course, as we worked to develop our device, We’ve also established a charitable side to the and others. As a result, I’ve been able to forge my development. We made hundreds of prototypes the team could never have predicted mask-wearing business. We provide our transparent masks for free own path as a deaf person and make my own impact to test our design for comfort, fit, anti-fogging, becoming universal because of the pandemic. to organisations that need them most, including in the world. www.theclearmask.com 22 RNID I AUTUMN 2021 23
Experience i When Vera Brearey’s t’s 1977, I’m 24, and I’m standing in the kitchen to go), I booked some leave and joined a sign Deaf people, learning to sign, moving into the Deaf of a London flat share. My friends are settling language class for a very intensive week. I loved community and being immensely happy with their progressive hearing loss round the kitchen table for supper. They ask it. I loved how expressive it was. I was fascinated choice, but it was not for me. started more than 40 years me how I got on at the hospital that day. “Not to discover how differently it was structured – a I love hearing. I love sound. I love it that I can hear good,” I said. “They told me I might go deaf.” fully different language, not an imitation of English. birds singing, my boots scrunching through frost ago, one of the first things I was in shock. I had developed tinnitus, gone Some of the teachers were Deaf and some weren’t, on wintry days, my washing machine telling me that she did was book a short to the doctor, and eventually been referred to but we immersed ourselves in sign as much as we it’s finished the spin cycle (all lost to me for years the Royal Ear Hospital. As far as I was aware, my possibly could for the whole five days. until I got my cochlear implant – I cried when I heard but intensive sign language ears were otherwise functioning normally but the And then? Well, I went back to work and life went them again). training course. Although she hospital discovered that I’d lost a slice of high- on. I didn’t forget about signing but I didn’t follow I love being able to chat easily to almost anyone. loved it, she didn’t pursue it – pitched hearing. it up either. I had other stuff to do; a life to get on Being fluent in a language shared by almost “It’s quite possible this will get gradually worse” with. And that’s what happened for 40 years. everyone you meet means that you can connect she explains why the doctor had said “and, given your age, you Of course, in one way, I was very foolish. If a with almost everyone you meet. may end up severely deaf. You might not, but you crystal ball had appeared on that supper table, This Spring I had one of those moments when might.” I would’ve seen that 40 years later I would be you reflect on all that is right with your world. I A friend from those days remembers us profoundly deaf – no hearing at all in my right ear was queuing in my car at the entrance to a nearby A life in discussing if I would need to learn sign language. It and a bit of very low-pitched hearing in my left. The country park. The driver of the car ahead of me seemed ludicrous; I could hear perfectly well. But doctor’s gloomiest predictions had come true. was having a long conversation with the woman in the thought must have stuck in my mind because, the kiosk. a few years later, when I first noticed there were FIRMLY ROOTED I was in no hurry, so I just sat back and watched. things I couldn’t hear (bird song was the first Luckily (very luckily!), my hearing’s slow decline After a while, the woman in the kiosk started the hearing world was matched by many technological advances. dancing about, waving her hands in the air, then When analogue hearing aids were not enough bent over double with laughter. Intrigued, when for me anymore, digital ones became available, it was finally my turn, I asked her what had been succeeded by ever more clever models and, going on. It turned out she and the woman in front eventually, in 2017, a cochlear implant. of me had kept their spirits up on previous wintry, As well as these devices, there were lots of Covid days by singing a different Christmas song other technological advances, too, such as every time they met. Today’s song had been Slade’s hearing loops, email, smartphones, texts, personal Merry Christmas Everybody. listeners, Relay UK and Bluetooth streaming. Soon, I was bent double laughing too. We chatted They all meant that I was able to stay in the for a while, I waved my barcode at her machine and only place I’ve ever wanted to be – the hearing she wished me a great visit. The moral? For me, the world. The experience of someone who loses ability to share a joke with a random stranger is one their hearing in adulthood is very different from of the things that makes life worth living. I’m glad I those who are deaf from birth or early childhood. made the choice I did. Illustration: Christopher Nielsen By the time my hearing loss started to have any meaningful effect, I had a fully hearing life. I had friends, a husband, hobbies, passions, a career – Read more about Vera’s cochlear implant all firmly located in the hearing world. I can’t even journey at: www.morethanabitdeaf.com conceive of what it might’ve been like to try to To find out more about cochlear implants, change that. I’ve read very moving accounts of go to: rnid.org.uk/cochlear people losing their hearing in adulthood, meeting 26 RNID I AUTUMN 24 SUMMER 2021 2021 25
Experience tinnitus “ I try to do in my private life. I’ve become better and me at dealing with stress and listening to myself, taking more breaks in everyday life. I have also become better at accepting that I am a human being; that it’s okay to have bad days. I’m more than good enough. Before, I was more concerned with striving for perfection. The fact that I accept “ myself to a greater extent has made me stronger It started about five years ago when I in dealing with other challenges. I have become was in my early 50s. The sound came Hilde Beate Berg from Oslo in Norway better at taking care of my physical health, too. as a marked, even, high-frequency hissing sound But this is not just a happy story about tells Dawn Dimond how she deals in the head. It came suddenly and remained as a everything being fine all the time. I’m just a constant sound. It has not changed over time. with the condition person with good and bad days, like everyone But in a way it has, since I mostly manage to else. I have a soundtrack in my life. It’s there but focus away from it; then I do not hear it. it’s not what I choose to focus on. That’s my way It happened in connection with a big of redefining silence. transition in my life. I’d made a career change and I understand and empathize with everyone was in the process of a new education and who experiences this condition. The most re-establishing myself professionally. It was a big For uplifting stories on mental health, follow important thing is not to lose hope. There are change; an exciting but also demanding phase. I Hilde on Instagram @hildebeateberg several strategies for getting relief from it and was studying coaching and sports psychology and everyone must find their own way of coping. I work now as a trainer in mental health. But I It helps to think that tinnitus is not something think my tinnitus came as a result of many years very interesting, but intense, phase. However, I’ve aspects of myself, even what I defined as you are, but something you have, because we are of stress – I used to be magazine editor. As a always been solution-oriented, so this was weaknesses. That approach helped me to go so much more than this sound. This ‘more’ is person, I am also quite enthusiastic and energetic. something I just had to manage. more acceptingly into the sound. I chose to face what we can choose to give more space. That’s a good thing, but I may not always have As a former journalist and now NLP (neuro- it rather than meet it with resistance. I worked I think good quality of life is, among other been good at setting boundaries. linguistic programming) coach, I’m interested in on becoming friends with it and not see it as an things, about finding meaning in the little things When the sound suddenly came overnight, I the power of words – how they define our reality enemy. At the same time, I focused on other we have around us, trying to be present in these, became desperate. I have always greatly and can limit us. In the beginning, then, I was a aspects of myself that were more fruitful to focus taking care of our physical and mental health, appreciated silence. I love to sit on a pier looking bit careful calling it 'tinnitus': it would be more on. I also became more aware of how I handled having a social network and not cultivating the at the horizon or stroll in the garden, listening to defining and maybe stay longer, I thought. But it stress, and adjusted. I tried to go a little slower ailments. the birds. This is where I get my energy. But continued to stay – and tinnitus was what I had. where before I’d be jogging between chores. Today, tinnitus is not a big part of my life. The when the sound came, it was like being invaded, I decided early on that the sound should I mentioned it to my close family but, mainly, sound is probably as strong as before but, most of with no way to escape. I’ve always slept well, but neither define nor limit me. In fact, I made an this was something I worked on for myself. It the time, I do not hear it. Photograph: Marika Mørkestøl now I would wake up in the middle of the night active choice: I chose to focus on the things I wasn’t that I meant to keep this hidden from the or early in the morning, when everything was normally focus on in my life. I didn’t make a big outside world but, because not paying attention quiet. Then it was difficult to fall asleep again. deal out of it. I understood that it would be a very to the sound was my coping strategy, it wasn’t Want to know more? I got tired faster during the day, became more limiting life if I had to constantly focus on this important to talk about it either. The more focus For confidential information and support sensitive to sound and also had concentration sound – it was something I had, not something I I gave it, the louder the sound. contact our Tinnitus Helpline: 0808 808 problems. With my studies and establishing was. In parallel, my studies gave me greater As a mental coach, I think it’s important to 6666; tinnitushelpline@rnid.org.uk myself professionally all over again, this was a insights into myself. I began to accept more see opportunities in adversity. It’s also something 26 RNID I AUTUMN 2021 27
Information BIOMEDICAL I INFORMATION I TECHNOLOGY READ my lips During this last difficult year, when face coverings became the norm, many of us discovered just how much we rely on lipreading, writes Molly Berry. Face coverings have caused no to attend a class if it clashes without hooking them over end of communication with work, as this is your ears, or knowing that difficulty for many people – considered a ‘reasonable you’ve every right to ask with or without hearing loss adjustment’ for employees people to lower their face – and it’s driven home just with hearing loss. covering to speak to you as how much we all rely on Classes are great fun, and long as social distance is lipreading in certain situations. really do make a difference to maintained. If lipreading is essential to how well you cope in a lot of But perhaps most your needs, have you ever different situations. You’ll importantly, we laugh a lot in considered improving your meet others with similar lipreading classes; it’s good to skills, meeting new people and experiences, share tips and laugh together. generally sharing your stories, find out what you’re Many of us have reassessed experience of hearing loss? entitled to (such as the Access our lives in the last year, of If so, now is the time to to Work government scheme course, and if you’re enrol for a new teaching year to give you the equipment you considering a career change, of Lipreading and Managing need to do your job), and how for instance, then now is also Hearing Loss classes run by to get equipment to keep you the time to enrol on a training Atla (Association of Teachers safe at home (did you know course as a lipreading tutor. of Lipreading to Adults). that the fire brigade will fit It’s a great, fulfilling job, and There are in-person classes you a smoke alarm with a one of the few where nationwide, as well as online, vibrating pad for under your hearing loss is an advantage – Illustration: C.White so you can be sure to find pillow, to wake you if it should but there is a desperate one that suits you best. If go off at night, free of shortage of qualified necessary, you can even ask charge?). You will also learn lipreading tutors. your employer for time off many communication tactics, City Lit college in London and checking strategies that has a training course starting can help a lot in everyday life in October and mostly home For classes nationwide and for – such as wearing a sunflower learning, with only a few visits Photograph: MED-EL information about online classes, lanyard to indicate you have a to the college. go to www.atlalipreading.co.uk or hidden disability; ways of Contact lipreading@citylit. Atla’s Facebook page wearing a face covering ac.uk for more information. 28 RNID I AUTUMN 2021
Biomedical R esearchers around the world are making new safe. In the next, Phase 2, trial it’s tested on a larger How we’re fuelling the pipeline the wide range of types of hearing loss seen in the discoveries about the biological causes of hearing number of people to check it’s effectiveness and assess • We’re funding research that will advance our human population. This means that researchers may loss and tinnitus. We’re learning more every day the dosage needed. This can take up to two years. understanding of the causes of hearing loss and tinnitus – develop a treatment that appears very effective in their about how the specialised cells needed for hearing In the third and final stage of clinical research, the knowledge that will fuel the pipeline with new treatments. laboratory models but then fails to live up to its within the cochlea are formed, and how they actually treatment is then tested on an even larger number of • We’re funding PhD studentships and early-stage career promise in clinical testing. work. This research is providing vital insight into ways people, generating the data needed to gain permission fellowships so that there will be more research scientists Tests are also needed that can indicate whether a of potentially treating hearing loss and tinnitus. from regulators to market the treatment. This stage treatment is having a biological effect (such as a able to work on advancing treatments. But discovery research is just the first step. It can can take up to four years. change in the level of a protein in the blood). Without • We’re working across the research ecosystem to identify then take up to 12 years to turn these ideas into an such tests, researchers are left in the dark when a approved medicine. First, scientists have to search Hearing treatments There are 79 treatments what may be blocking progress and find solutions to treatment fails to work as expected. libraries of tens of thousands of molecules to identify currently in the pipeline for hearing loss and tinnitus speed things up. Perhaps the biggest challenge of all is identifying those that have the desired biological effect. Even – and five of these are at the most advanced stage of people who have the type of hearing loss the then, a selected molecule’s structure may need to be clinical testing (Phase 3). They include treatments for treatment has been designed for – there’s no point fine-tuned to optimise its performance. tinnitus, Ménière’s Disease, sudden onset hearing loss Gene therapies There is growing interest in giving someone a treatment that regenerates sensory Next, researchers will need to test the treatment in and reducing hearing loss caused by cisplatin, a developing treatments for genetic forms of hearing hair cells if the reason for their particular hearing loss laboratory models to ensure that it’s safe, that it common cancer treatment. loss, with 13 gene therapies in pre-clinical is a damaged auditory nerve. Better tests are needed protects or restores hearing in the way they expect, There are 11 treatments at Phase 2, including those development. The aim would be to introduce a to determine the cause of an individual’s hearing loss and to figure out the best way of getting the drug into that aim to trigger the regeneration of damaged hair working version of the faulty gene causing hearing so that the right treatment can be given. This is a the cochlea so that it reaches the right cells, at the cells in the cochlea. Hair cells are the ‘microphones’ of loss and would be particularly effective if someone is likely reason why many trials of tinnitus treatments, right time, and in the right amounts. This ‘pre-clinical’ the cochlea; damage to these cells is a common cause of treated before their hearing significantly deteriorates. for instance, have been unsuccessful to date. stage can take around five years and only after this can hearing loss, so being able to re-grow them would be a Several genes are being targeted including OTOF These challenges aside, there’s every reason to the treatment move along the drug development real game-changer in restoring hearing. which codes for a protein involved in transmitting believe that, with a diverse range of innovative pipeline into Phase 1 of clinical testing. The remaining treatments include seven at Phase 1 signals from the sensory hair cells in the cochlea to treatments in clinical development and an increasing Over the next 12 months or so, the treatment is stage and 56 at the start of the pipeline in pre-clinical the auditory nerve. There’s also potential to introduce number entering the pipeline, new treatments to tested on 100 healthy volunteers to check that it is development. a working copy of the gene that encodes a protein prevent some types of hearing loss, restore hearing called connexin 26 (as defects in this protein is one of and silence tinnitus will become available in the next the most common causes of inherited deafness). five to ten years. Dr Ralph Holme, our Director of In the Research and Insight, looks at the Challenges ahead The good news is one in four For more information about our biomedical development of new treatments for new treatments for hearing loss and tinnitus have entered the pipeline in the last three years. However, research and the difference it makes hearing loss and tinnitus go to: rnid.org.uk/research Pipeline there are challenges to how fast things progress, including how difficult it is in a lab setting to mimic 31
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