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Breaking Barriers ACTION - information, campaigns, ClearMask
Company president Allysa Dittmar
                      Breaking
                      Barriers
ACTION                    PEOPLE                       EXPERTS
information, campaigns,   interview, opinion, diary,   biomedical, information,
services                  experience                   technology
Breaking Barriers ACTION - information, campaigns, ClearMask
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
Breaking Barriers ACTION - information, campaigns, ClearMask
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
Breaking Barriers ACTION - information, campaigns, ClearMask
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
Breaking Barriers ACTION - information, campaigns, ClearMask
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
Breaking Barriers ACTION - information, campaigns, ClearMask
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
Breaking Barriers ACTION - information, campaigns, ClearMask
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
Breaking Barriers ACTION - information, campaigns, ClearMask
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
Breaking Barriers ACTION - information, campaigns, ClearMask
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
Breaking Barriers ACTION - information, campaigns, ClearMask
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

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