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My name is Joanne Swinbourne and I have trust issues.
Don’t worry, I’m not getting all deep and personal here on Limping Chicken! But I do want to come out and say that I have deep trust issues – with audiology departments!
Watch a BSL translation of this article by Helen Foulkes below:
Why is it that whenever I visit my local audiology department, my hands feel sweaty, my hackles are raised and I have a strong feeling of uncertainty?
It’s because I feel an audiology department – for a deaf person – should be a place of safety and calm – purely because the staff who work there meet deaf people every day.
So, surely they should know how to communicate with us? Surely it should be a very stress-free experience?
But is it? No, it’s the opposite!
When I visit my doctor or my dentist, I go with a sense of reality. I know that the experience will be a bit hit and miss, and I am prepared for it.
The receptionist may be a bit difficult to understand, the computer system may not be working that shows your name or maybe the doctor may be a new one with no experience of talking to a deaf person. But I adjust my expectations so that I am prepared for any eventuality.
But the audiology department? Every time I go, the overriding feeling I leave with is one of disappointment.
I hope and pray that there may be an audiologist who can sign a bit, will speak clearly (without having to be asked to), and will tap me on the shoulder when they want my attention.
But I am constantly disappointed and angry when I leave (a bit like when I go to the cinema and find the captions aren’t working!!)
I have been to the audiology clinic twice in the last week, the first time to see the consultant and the second visit to the technician to fix a broken hearing aid.
The consultant always looks wary when he sees me because he knows that I will ask him awkward questions. In short, I make him work hard to communicate clearly with me (on purpose, why should I have to do all the work!?) but also his attitude stinks.
As a result of me having Pendred Syndrome, I have progressive hearing loss. So before, I was severely deaf, and now I am profoundly deaf.
In the audiologist’s eyes, it’s like I am on the scrap heap. For someone who has lost some useful hearing that I used a lot, I do grieve a bit for that bit of loss.
Do I get any empathy from my consultant?? Do I heck!
Basically, when I enquire about updated hearing aids, I am told that a cochlear implant is the only useful option.
I then ask for a hearing test, he tells me there is no point, but when I insist I want one, he dismissively says he’ll let me have a hearing test, but it’ll be “for my intellectual curiosity only”.
I explain to him that having a CI is a huge step, a big operation but also it has a huge impact on my family and work life so it is a big step to consider. I get a shrug in return!
In contrast, a few months ago, I had a full thyroid removal. In the months leading to the operation, I had many appointments with the consultant and the surgeon.
My options were clearly explained, they booked interpreters for my appointments so I would have full access and so on. They were empathetic, patient and understanding when I asked countless questions. What a contrast to my audiologist.
The audiology technician is another story.
I asked for a hearing test, I got a big sigh.
I asked for a new mould, another big sigh.
No smiles. No speaking clearly. Talking to my back, so I can’t lipread or hear that he’s talking to me. Looking irritated when I don’t understand. Looking at his watch.
How demeaning is this?
I want to know what happens when audiologists have their training?
My GP told me that when they have their training, they have a one day workshop with a deaf adult, learning some signs. They also have to have a conversation with a deaf adult.
But for audiologists, I wonder how much contact they have with deaf people while they are training? Are they taught sign? Are they taught deaf awareness?
It feels to me that they are trained to look inside the ear only. But for a deaf person, it needs to be a holistic experience.
They need to look at the whole deaf person, their background, their feelings about their deafness and be aware of cultural differences. Not just whether a hearing aid or a CI will do the job.
So I will continue to be the “difficult” patient for my audiologists. I have had 44 years of them and the only ones that I have met who sign are the ones who work in schools with deaf children.
I have never met one who can sign in a hospital …yet.
My consultant wants to transfer me from the Leeds borough to the Bradford borough, I think he wants to get rid of me (!) but until then, I will continue to be a thorn in his side and make him work harder at his job and to become better.
Audiologists need to be so much better. Don’t they?
Tell us what you think below in the comments!
Robert Beiny
November 19, 2017
As an audiologist in the private sector it saddens me to read this as i go out of my way to do whatever I can to share the communication challenges in a consultation. My patients and clients come first, they’re never made to feel they’re a nuisance and my practice should be a safe haven for anyone with hearing loss to visit.
I believe that no problem is too great be addressed or too small to be ignored.
I’m sure that there are audiologists out there who feel the same. I hope you are able to find a clinician you can connect with so that appointments are like going to see a friend.
Christof
November 19, 2017
In all my life, I’ve yet to meet one audiologist who can sign BSL (even if only basic) and it’s so bizarre that learning basic BSL is not part of their curriculum considering that they cater for the deaf community every day.
After meeting an audiologist, I often come away feeling disillusioned because they did not listen to my concerns about either my deafness or hearing aids – oh the irony that I am supposed to be the one who is deaf – nor have they adapted their workplace to cater for the deaf community. Eg no visual aids to alert you when your name is being called out. The number of time I have missed my slot because I didn’t hear my name being called out and yet they expect the deaf community to watch intensively to the reception without blinking just in case our names are called out.
It has gone to the point where I despair going to the audiologist and avoid it for as long as I can and I’m sure I’m not the only one.
Time for the NHS to shape up and make their audiology department – which is aimed for the deaf and hard of hearing community – accessible for us all.
Play By Eye
November 19, 2017
Have you shared this article with your audiologist ? I think you should.
Catherine Turner
November 19, 2017
It reminds me of the ophthalmologist who seemed to lose the ability and wish to talk to me after my vision had worsened to the point where I could no longer tell that he was trying to get my attention all follow him along the corridor. It’s like once your condition has crossed a certain line you’ve gone into some kind of alien realm where you’re no longer worth communicating with.
Debbie timson
November 20, 2017
I’m so.sorry to read your appalling experiences within an audiology department. I have been an audiologist for over 14 years and can assure you we do not have one day workshop training. I am also a qualified bask communicator that teaches the language in my spare time too.
It sounds like the staff you have had dealings with certainly need re-educating, and it is your right as a patient to complain about your treatment. If you have been treated this.way you can be certain many others have too, and this is unexceptable
I hope you are treated better else where and I.certainly hope the staff at your previous radiology department are sent for retraining.
All the best Joanne
Debbie Timson
Audiology For Dorset
Paul
November 20, 2017
Audiologists undergo a great deal of in depth training and it disappoints me that the writer of this article has had such a hard time of it. Or – so it seems. However the author fails to hold fire and I find some of the content actually damn right insulting when the author could simply have taken to google what our professional standards and training backgrounds are.
I personally do not sign. I cannot sign. In fact, in an entire 13yrs working within this professions (I am a respected and well established audiologist) I have NEVER needed to communicate with sign. In our role we tend to mainly deal with patients with an ‘aidable Hearing loss’. We take time to discuss with patients the nature of their hearing loss, expectations and management options, and do all that we reasonably can to offer support. We refer onwards where necessary and assist with communication tactics and assistive listening devices.
Clinics are time managed and have deadlines. We know to monitor progressive losses. The practitioner is, in fact, a specialist. Sometimes a hearing test is not scheduled for an appointment (think time management – if it isn’t part of the appointment, and isn’t needed, why not ask the Audiologist for one as soon as possible? Does the author of this article dare to dictate to their dentist what treatment should be delivered, how and when??
Of course, sometimes hearing aids may be delivering the best that is possible – we are of course limited by the pathology of the hearing loss. Now, if cochlear implants had been discussed previously and – undisputedly is of course a very big step – then why doesn’t the author of this piece arrange a consultation with an ENT specialist? As from my interpretation of this article the author is too busy complaining about clinicians not being able I sign (there isn’t sufficient demand and we are using our time constructively in areas that offer far greater cost and effort benefit). Instead of being so critical or failing to move forward constructively, the author of this article should in fact take ownership – find out more about cochlear implants. And please, stop complaining so much about healthcare practitioners who DO wish to help, but need you to take some ownership of your situation rather than just complaining that the services set up for the greater population cannot offer you absolutely everything that you require – however possible, or not.
Editor
November 20, 2017
Hi Paul, for me the tone of your response reflects the attitude of many of the audiologists I’ve met.
Rather than reflecting on the piece and where the writer is coming from, you’d rather question it (“or so it seems”/”the author fails to hold fire”) and take it personally as though it’s aimed at you as an individual, instead of reflecting on how your profession is often viewed by Deaf people.
This comment, for me, reflects what I’d describe as a superior attitude among members of the audiology profession. As though people shouldn’t question you, and seeing any problems as being with D/deaf people themselves, rather being something that audiologists may contribute to.
A big part of it is tone. It’s how people feel they’re being communicated with. Often it’s how things are said rather than what exactly is being said. It’s the assumptions that are conveyed, that may not match the individual’s approach to their own deafness. It’s being talked down to.
It’s important to say that the experiences of the writer are shared by many other D/deaf people I’ve heard from as editor of this site, and by me personally.
nathan
November 20, 2017
Have to defend Paul here in a way. I am profoundly deaf since birth. The big issue is “signposting” is terrible. To this day I still don’t exactly know what I am supposed to do to get an ear mould. Or an audiogram. Booking a “fine tuning” appointment is not an request for an audiogram. It is the system. And it appears that perhaps the system differ hospital by hospital making it even more confusing. If I want to consider a cochlear implant, I have absolutely no idea what to do. Should I ask my GP first? Make an fine tuning audiology appointment and make the request there?
What you are asking for is “flexibility” at appointments – but that is not how the NHS is set up to do. If you don’t know the system, you have to “play” the system.
Yes the system is confusing and bewildering , you have my full sympathies. But attacking the audiologist for “lack of compassion” is probably not the answer and not the wisest thing to do. You should attack the system itself instead. Expecting audiologists to know sign language is also a no-no – the very vast majority of the patients they deal with are not sign language users (myself included). If they had to know some sign, the quality of the signing would be poor. The NHS provides interpretation if you need it, and you need to book it.
Tammy Stobaugh
November 20, 2017
You sound as unsympathetic as the audiologist the article referred to. I have been a licensed hearing care professional for almost 20 years. No one leaves my office until all questions are answered to the best of my knowledge and all issues they are having are addressed and fixed. If they want a unscheduled hearing test then they get a hearing test. All of my patients are like family to me and Io trat them loke family. If my schedule ru s behind them my patients understand because they know they will get the same kind of care as the patient bedore them. Seems to me like, sadly, you are only in it for thhe money.
Rosie Malezer
November 20, 2017
Every audiologist I have ever met, both in Australia and Finland, have just one purpose in mind: to CURE us Deaf freaks in order that we fit into their sense of normality. Their method, to slice open our heads and force us to hear with a cochlear implant. Deaf is no way of life. Only LOSERS choose being Deaf. <– THAT is not only the message, but the actual WORDS of the audiologists who have crossed my path. They wipe their hands with me when they learn than I am irrefutably comfortable with being Deaf and with using sign language (ASL) to communicate. I am worse than the crap on their shoe when I dare tell it.
These people think they are god's gift to the medicinal world for folks with "hearing impairments" (I so loathe that term) but their only gift is to make is feel small, inadequate, useless and broken. One day, I hope they actually find a real occupation – one that HELPS people instead of teaches them how to feel bad about themselves instead of teaching them that they can reach their goals through different means.
SigningMAuD
November 20, 2017
Wow. Your attitude makes me ashamed to be an audiologist, Paul.
I am a fluent signer (in a couple of signed languages and different dialects) and am about to graduate with a MAuD in Audiology. As a hearing member of my local and international Deaf communities, I have endeavoured to advocate for greater Deaf awareness and basic Sign Language skills to be included in our training.
This article, and sadly, the above response to it – further demonstrate just how badly this is needed. After all, no university degree in the world – no matter how advanced – will actually make a student an expert in the lived experience of deafness and / or Deafhood in itself. In other words: d/Deaf are the experts in *being deaf* – not us.
Student
November 20, 2017
I’m a first year audiology student and one of the first things we learnt was professional conduct around the hard of hearing and those with profound hearing loss we had deaf awareness charities come in and explain steps we should take to be helpful and clear without being belittling or talking down to a patient such as not covering our mouths, to not speak to someone with our back turned and to not shout but slow down and pronnounciate well, we also were given guides to learn the BSL alphabet so it’s not loads but we are taught really early on to be mindful
I understand why they don’t want to perform the hearing tests on you if your hearing loss is extremely profound but I do believe they should explain to you why in depth cause it’s not like you want to waste your time
I’m actually in placement right now and I’ve been sitting in on appointments all day every day and luckily the audiologists there are happy to answer questions and are comfortable to look at all options available for each patient perhaps it’s the department you’re in that’s a bit dodgy? Try another one and also write a letter to the department it should be resolved but I truly dont think audiologists can’t be bothered with their patients or have some kind of superiority complex.