Movie Captioning Access Update

Deaf and hard-of-hearing people who have a hard time understanding dialogue at the movies benefit from closed captioning in a movie theater. Closed captioning technology for movie theaters allows hearing impaired patrons to read the movie dialogue as captions. The entire audience does not see the captions; only the patrons with the captioning device see the words. The reflectors are available at the theater's customer service desk. It can be very frustrating to miss that critical plot twist because you didn’t hear all of the words. How does the technology work? A captioning device displays reversed captions on an LED text display which is mounted in the rear of a theater. Deaf and hard-of-hearing patrons use transparent acrylic panels attached to their seats to reflect the captions so that they appear superimposed on the movie screen. The reflective panels are portable and adjustable, enabling the caption user to sit anywhere in the theater. Recently, there have been two major court rulings in movie captioning access. On April 30, 2010, a unanimous, three-judge panel of the U.S. Court of Appeals for the Ninth Circuit ruled that the Americans with Disabilities Act (ADA) requires closed-captioning access in movie theaters. This is the second time a federal court has ruled that the ADA requires some captioning access (a federal court in Washington, D.C., ruled this way in 2004), and the first time that a federal court of appeals has ruled this way, overturning a lower court decision. Many theaters across the country already offer closed-captioning systems. In New Jersey in September 2004, the Attorney General’s Office and the Division on Civil Rights reached voluntary settlement agreements with four major multiplex theater chains operating in New Jersey regarding the installation of new deaf captioning technology. Under terms of the settlement agreements, American Multi Cinema (AMC), Loews Cineplex Theaters, Clearview Cinemas and National Amusements agreed to either equip their theaters with new captioning technology or, in multiplexes where the technology was already installed, to expand the number of screens offering such captioning. Please visit our website at http://www.coastalhearing.com/under helpful links to take the Better Hearing Institute hearing test. # # # Dr. Suzanne McCorry is Director of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com/

Dr. Fuchs Joins Coastal

Coastal Ear, Nose and Throat is proud to announce Tara L. Fuchs has joined the staff of Coastal Hearing and Balance Center Dr. Fuchs is a hearing-health professional with an audiologic career that spans over a decade. Dr. Fuchs earned her Master of Arts in Audiology from The College of New Jersey in 1997 followed by her Doctorate in Audiology from the University of Florida in 2003. During Dr. Fuch’s audiology tenure, she also became a member of both the American Academy of Audiology and the NJ Association of Hearing Health Professionals. She has spent time working as an Adjunct Professor at The College of New Jersey to help educate the next generation of hearing-health professionals. As both an industrial and clinical audiologist, Dr. Fuch’s professional experience spans from pediatric through geriatric patients.

Please visit our website at http://www.coastalhearing.com/for more information on healthy hearing.

Dr. McCorry is Director of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com/

Hearing Loss

What are the primary causes of hearing loss?

Coastal Ear, Nose and Throat along with Healthy Hearing would like to educate the public on the primary causes of hearing loss.

There are three types of hearing loss: conductive, sensorineural and mixed hearing loss, all of which have different causes.

Conductive hearing loss is caused by issues with the middle ear such as fluid in the middle ear space or issues with the middle ear bones. Many types of conductive hearing loss are not permanent and can be treated by medical intervention. A full hearing evaluation followed with a medical evaluation by an ear physician will help to determine the cause of the conductive hearing loss. Once the cause is identified, the physician will recommend medical treatment.

Most causes of sensorineural (nerve) hearing loss are never known; however, through a hearing evaluation and medical evaluation, various causes of hearing loss can be suspected based on the outcome of the evaluations. The most common causes of sensorineural hearing loss are genetics, aging and noise exposure. Medications, diseases associated with small vessel disease, arthritis, diabetes, and heart disease are all associated with a higher incidence of hearing loss.

Recent studies have also found persons who smoke increase their probability of having hearing loss. Finally, high levels of blood lipids and cholesterol have been associated with an increased incidence of hearing loss, possibly through the promotion of small vessel disease.

Currently, noise-induced hearing loss is the only type of hearing loss that can be fully prevented by the use of ear protection. Noise induced hearing loss may be caused by a single exposure to excessive noise or from many years of being exposed to loud levels of noise.

Mixed hearing loss is a combination of conductive and sensorineural hearing loss, and is caused by the previously mentioned causes.

Unfortunately, even if you live healthy and take all precautions possible, the majority of us will slowly develop hearing loss due to the natural aging process. The inner ear hair cells do not replace themselves and once they are lost, their function is not recovered.

Recent studies have found high doses of antioxidants may be associated with the prevention of noise induced hearing loss. Other studies have shown a diet rich in folates may also help prevent hearing loss by up to 20% (2009, AOO-HNSF); however, further research is needed.

Joanne Slater M.S. CCC-A. Copyright 2009, www.HealthyHearing.com - The leading web resource on hearing loss and hearing aids. This article was reprinted with permission. Article Source: http://www.healthyhearing.com

Please visit our website at www.coastalhearing.com for more information on healthy hearing.
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Suzanne McCorry is Director of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com

Hearing Aid Dispenser

Coastal Ear, Nose and Throat is proud to announce Jessica Miller has joined the staff of Coastal Hearing and Balance Center. Dr. Miller received both her Bachelor’s and Doctorate in Audiology degrees from James Madison University in Virginia. She is a licensed Audiologist and Hearing Aid Dispenser. Jessica also holds a Certificate of Clinical Competence in Audiology from the American Speech-Language Hearing Association. After experiencing a variety of clinical settings including hospitals, VA medical centers, ENT offices, & private practice, she has found her niche working with hearing aids.

Call (732) 280-7855 or visit us on our website to make an appointment.

Otitis Media (Inflammation of the Middle Ear)

Located within the middle ear space is a tube called the Eustachian Tube. This tube extends from the middle ear space to a region in the back of the throat and nose. In its normal state, the Eustachian tube is closed. However, when a person swallows or yawns, the Eustachian tube is forced open in order to allow air to enter the middle ear space, thus equalizing the air pressure in the middle ear to that within the ear canal. If the Eustachian tube fails to open and close properly, pressure builds up in the middle ear space allowing the accumulation of fluid.

A child’s Eustachian tube is an essentially narrow, straight, short tube which is the perfect condition for fluids and germs to gather in the middle ear space and cause problems. As children grow into adult bodies, this tube begins to widen, lengthen, and slope down into the back of the throat and nose space. Think of a properly functioning storm drain, an adult Eustachian tube allows for the proper drainage of fluid so that a buildup of fluid and germs is less likely to occur, similar to rain water properly running down the drain.

In addition to being at an anatomical disadvantage, a child’s immune system is not fully developed until the age of 7 years. Therefore, their bodies are not as good at warding off infections as adults. Environmental factors may also increase the risk of OM such as the use of pacifiers or bottles, exposure to second-hand smoke, and attending group child-care facilities where germs are easily spread.

In treating middle ear infections the physician will consider whether or not to use a “wait and see” approach, antibiotics, pressure equalization tube insertion, or a combination of two or more of these approaches. When planning the treatment approach the physician will consider the type and severity of the ear infection, frequency and duration of the ear infections, the age of the child, speech/language delays or learning disorders, state of hearing sensitivity and medical risk factors.

Pressure equalization tubes, or PE tubes, are surgically inserted in the ear drums. They help to drain fluid from the middle ear and equalize the pressure in the ear. The procedure takes about 10 minutes and is performed under general anesthesia. Children are most commonly able to leave about an hour after surgery and feel no pain after discharge.

If otitis media goes untreated, and fluid is allowed to remain in the middle ear for longer than 6 weeks, it may become thick. This thick fluid or mucous can cause significant damage to the eardrum and the tiny bones within the middle ear thus impairing hearing. Following your physician’s medical treatment plan is the best way to assure maximum recovery and hearing abilities.

Research about OM is ongoing; your doctor can talk to you about the current findings.

Coastal Ear, Nose and Throat has been treating monmouth county and ocean county for ear infections for over a decade. Our practice offers audiologic/diagnostic hearing evaluations our doctors of audiology. So come visit our board certified physicians and let them help you treat your otitis media. If you like our blog please visit our facebook page and like us.

Please visit our website at www.coastalhearing.com under helpful links for more healthy hearing information.
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Dr. Suzanne McCorry is Director of Audiology at Coastal Ear, Nose and Throat in Neptune, NJ and can be contacted at 732-280-7855; sbmccorry@coastalhearing.com; http://www.coastalhearing.com

Mary Mitskavich, MD

Mary Mitskavich, MD

Founder, Coastal Ear, Nose and Throat

Dr. Mary Mitskavich is the founder of Coastal Ear, Nose and Throat, LLC and is the managing partner. She received her undergraduate degree in Pharmacy from Duquesne University, graduating Summa Cum Laude as the class Valedictorian. She worked as a registered Pharmacist until deciding to pursue a career in medicine.

Dr. Mitskavich completed medical school, internship and residency at the University of Pittsburgh where she was elected to the Alpha Omega Alpha Honor Society. Dr. Mitskavich has had multiple scientific publications and presentations at national meetings. Grant money was awarded to fund her clinical research.

Currently, Dr. Mitskavich serves as a clinical instructor at Jersey Shore University Medical Center. She serves on the management committee of the Center for Advanced Surgery and Pain Management. She was on the Board of Directors of Meridian Ambulatory Care, Inc. She was recently selected to participate in the Meridian Physician Leadership Program. In 2007, Dr. Mitskavich was voted by her peers as one of New Jersey Monthly's Top Doctors.

Dr. Mitskavich is Board Certified in Pediatric and Adult Otolaryngology. She specializes in Balloon Sinuplasty, a less invasive endoscopic sinus surgery. You can see her interviewed on our Balloon Sinuplasty video.