Newsletter | August 2017

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Hearing Aids at the Mall? Congress Could Make It Happen

A few years hence, when you’ve finally tired of turning up the TV volume and making dinner reservations at 5:30 p.m. because

any later and the place gets too loud, you may go shopping.Perhaps you’ll head to a local boutique called The Hear Better Store, or maybe Didja Ear That? Maybe you’ll opt for a big-box retailer or a kiosk at your local pharmacy.If legislation now making its way through Congress succeeds, these places will all offer hearing aids. You’ll try out various models — they’ll all meet newly established federal requirements — to see what seems to work and feel best. Your choices might include prod-ucts from big consumer electronics specialists like Apple, Samsung and Bose.If you want assistance, you might pay an audiologist to provide cus-tomized services, like adjusting frequencies or amplification lev-els. But you won’t need to go through an audiologist- gatekeeper, as you do now, to buy hearing aids.The best part of this over-the-counter scenario: Instead of spend-ing an average of $1,500 to $2,000 per device (and nearly everyone needs two), you’ll find that the price has plummeted. You might pay $300 per ear, maybe even less.So many people will be using these new over-the-counter hearing aids — along with the hordes wearing earbuds for other reasons — that you won’t feel self-conscious. You’ll blend right in.That, at least, represents the future envisioned by supporters of the Over-the-Counter Hearing Aid Act of 2017, which would give the Food and Drug Administration three years to create a regula-tory category for such devices and to establish standards for safety, effectiveness and labeling.The approach seems to appeal to both conservatives (by deregu-lating an industry that currently restricts hearing aid sales to audi-ology practices) and to liberals (by extending an aspect of health care to many more people).Just look at the odd-bedfellow sponsors: Senator Elizabeth War-ren, Democrat of Massachusetts, and Senator Charles Grassley, Republican of Iowa. In the House, Representative Joseph Kennedy, Democrat of Massachusetts, and Representative Marsha Black-burn, Republican of Tennessee.They’ve attached the hearing aid provision to a bill reauthorizing the F.D.A. to collect fees from drug and device manufacturers,

which Congress must pass before its August recess to keep the agency functioning.The bill won approval from the Senate Health, Education, Labor and Pensions committee last month and sailed through the House Energy and Commerce Committee on Wednesday.“I don’t think we could have had this conversation 20 years ago, or even 10, because the technology wasn’t there,” said Barbara Kel-ley, executive director of the Hearing Loss Association of America.In the last two years, though, both the President’s Council of Advisors on Science and Technology and a National Academy of Sciences report called for the F.D.A. to establish an over-the- counter category.Decades back, when professionals had to manually adjust ana-logue hearing aids for each wearer, a process requiring repeated visits, it made sense to restrict sales to licensed audiologists, said Dr. Frank Lin, an otolaryngologist and epidemiologist at Johns Hopkins University.Now, users can program digital devices themselves. If the legis-lation passes, consumers will find more choices over the counter, instead of being limited to products from the six manufacturers who produce nearly all hearing aids sold in the United States. And new players (including start-ups) will enter a market they’ve been excluded from.“For any established consumer electronics company experienced with sound, this doesn’t have to be a substantial research and development effort,” Dr. Lin said.Just in time. Mild to moderate hearing loss becomes nearly ubiqui-tous at older ages, affecting more than 60 percent of those in their 70s and nearly 80 percent of those over age 80. Yet only one older person in five currently wears hearing aids.With Medicare coverage of hearing aids prohibited by law, cost represents a major reason. “The number one complaint we get in phone calls every day is, ‘I need help, I can’t afford hearing aids,’” Ms. Kelley said.More is at stake here than the ability to mingle at social events and parties. Older adults with hearing loss report more falls, and more hospitalizations and periods of poor mental and physical health. Some experience an accelerated rate of cognitive decline.

Staff Directory of

DEPARTMENT HEADS

Joann CardulloExecutive Director

Ext: 1027

Karen TimoteoResident Care Director

Ext: 1028

Carolyn TickDirector of Business Administration

Ext:1025

Mike CoteMaintenance Director

Ext: 1037

Christian CostaFood Service Director

Ext: 1022

Amber WolfActvities Director

Ext: 1008

Elisabeth LamantiaProgram Director in Rose Lane

Eric CalderwoodCommunity Relations Director

Ext: 1026

Resident Birthdays :

Gloria M. a.k.a. Pudge ....... 8/9

Birthday Celebration with Musical Entertainment by Bill Reidy.

Wednesday, August 2nd | 2 pmLocation: Media Room and Bistro

DateSave

the

Events of This month

Wednesday, August 9Ice Cream Soda Social

Time: 3:00 PMLocation: Bistro

Friday, August 18Lunch Outing to Rocky Point

Clam ShackTime: 11:30 AM

Saturday, August 19All American Assisted

Livings 1st Annual Classic Car Show

Time: 11:00 AM – 4:00 PMLocation: Outdoors

The ‘Dog Days of Summer’ are upon us! August is the month

of peaches and gladiolus. Please join us this month for our

monthly birthday celebration with musical entertainment

by Bill Reidy; culinary creations - easy peach cake and

marshmallow swirl s’mores bars, an ice cream soda social,

our 1st annual classic car show, an outing to Rocky Point

Clam Shack and the Farmers’ Market, our destination of the

month - virtual travel to the Amalfi Coast and much more!

ACTIVITY HIGHLIGHT

Welcome New Residents!

Bob and Linda A.Arthur J.

Josephine P.Margaret R.Michael W.

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Poor Sleep Tied to Increased Alzheimer’s Risk

Poor sleep may be an indication of increased risk for Alzheimer’s disease, a new study of older people suggests.

Researchers studied 101 cognitively normal people, average age 63, who completed well-validated sleep questionnaires. They analyzed their spinal fluid for the presence of indicators of

the plaques and tangles that are characteristic of Alzheimer’s. The study is in Neurology.

After controlling for age, a family history of Alzheimer’s, the ApoE gene that increases Alzheimer’s risk and other factors, they found that poor sleep quality, sleep problems and day-time sleepiness were associated with increased spinal fluid indicators of Alzheimer’s disease.

The reason for the association is unclear, but at least one ani-mal study found that during sleep the brain’s capacity to clear toxins like beta amyloid, the toxic protein that forms plaques in the brains of those with Alzheimer’s, improves. It may be that poor sleep interferes with this process in people, too.

“Not everyone with sleep problems is destined to develop Alzheimer’s disease,” said the senior author, Barbara B. Bendlin, an associate professor of medicine at the University of Wisconsin School of Medicine and Public Health. “We’re looking at groups of people, and over the whole group we find the association of poor sleep with the markers of Alzheimer’s. But when you look at individuals, not everyone shows that pattern.”