Welcome

We are a network of d/Deaf and hard of hearing health professionals who share information and support. As the site develops, it will include more practical information about strategies and equipment to enable us to work in healthcare and discussion of issues such as training and employment. This will also be relevant for our trainers, supervisors and employers, occupational health staff, audiologists, hearing therapists, ENT staff and other related professions. And you can contact me for advice and information.

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Live captions (speech-to-text) for patients too?

I posted before about using live speech-to-text reporting (aka “live captioning”) in meetings, theatre and indeed anywhere we d/Deaf and hard of hearing health professionals are working. Well, how about using it to help our deaf and hard of hearing patients?

Helen Cherry, a hearing aid wearer and NHS professional herself, uses remote captioning for work meetings. Then her own experience as a patient gave Cherry the idea of using it the other way round. How about our deaf and hard of hearing patients having access to remote captioning so they can “hear” their own healthcare staff? Read Helen’s blog here.

Many of us are already used to working with remote translation services such as telephone interpreting services for other (oral) languages. Some of us will have worked with online BSL interpeting services such as SignTranslate. So why not use a remote, live speech-to-text reporting service to communicate effectively with deaf and hard of hearing patients?

How does remote captioning work? One of the captioning services, Bee Communications, explains it here: “[the] captioner listen[s] to what is being [said] either via a telephone … or via Skype … They then type at the speed of speech and this text scrolls up on a website.” Just like the live subtitles on TV news programmes. For routine appointments, we could book a captioner in advance. But because it’s a remote service, it’s also possible to arrange it at short notice, just as we do with telephone interpreting services.

SignHealth campaigned for many years to improve access and equality for Deaf people and set up the SignTranslate service to provide BSL interpeting. Is there anyone out there up for campaigning for access to remote captioning for the many deaf and hard of hearing patients who don’t sign?

 

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Cardionics E-scope unavailable

I was very disappointed to hear that Cardionics have not renewed the CE certificate/MDD approval for the E-scope electronic stethoscopes. They expired on 31st August 2012. This means the UK suppliers  are unable to import new E-scopes into the UK and are now out of stock.

This has been the only stethoscope we knew of that could be supplied with headphones and with cables to use with hearing aids and implants on telecoil or direct audio input settings.

The UK suppliers are researching to try to find an alternative, as am I. And I’m asking Cardionics if they can reconsider renewing the CE certificate and MDD approval.

In the mean time, I only know of amplified stethoscopes such as the Littman and ThinkLabs stethoscopes. You may be able to use these over CICs, ITEs or open-fitting BTEs, possibly with ear tips such as Stetho-o-mates or with custom made ear moulds. But these don’t work for everyone. If they don’t work for you, or if you have BTEs, you’ll need to take your hearing aids out to use an amplified stethoscope with normal eartips. The ThinkLabs stethoscope has an output socket to use with a computer or iPod. At the moment I don’t know whether this will work with headphones or telecoil or direct audio input (DAI) cables and the manufacturer hasn’t responded.

Please let me know if you know of stethoscopes that can be set up with hearing aids or if you know more about the ThinkLabs stethoscope. Thank you.

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Broken links and stale information

The site is being redeveloped and I apologise that many of the links and some information need to be updated. I am working on it. Do let me know when you find something that is broken. Updated information would be an added bonus! And tell me what other information you would like to find here. What topics will be useful?

Most pages have a link to leave a comment or you can use the contact form to get in touch with me directly.

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Finding your way round the site

I’m developing the site substantially over the coming year. While this is happening, some of the navigation is probably going to be a bit haphazard. You’ll find some pages using the menu bar near the top of the page. Others from the links under “Categories” in the sidebar on the right. I recommend you looking under both as they don’t link to the same pages. You can also use the search facility. I’m sorry for the inconvenience. At the moment, my priority is to get the information online somewhere as soon as possible. Streamlining navigation will take longer.

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Live captions (“subtitles”) in the operating theatre

What can we do in the operating theatre where face masks prevent us lip-reading, the surgeon is looking down so we can’t see their face, or there’s too much background noise? Transparent face masks can help (awaiting link for further information). As can radio aids (also awaiting link.)

Amanda Mooneyham, a medical student in the US, is using live captioning* so she is able to take an active part in the learning situation in theatre, on an equal footing with her hearing colleagues.

See this short video.  (If like me you can’t hear it very well, click the CC button for subtitles. Or try the “interactive transcript” button below the screen. I haven’t seen interactive subtitles before. Neat.)

The operating theatre has a live internet link to a speech-to-text reporter (also known as a palantypist) who transcribes everything word for word in the same way a court reporter does. The text is displayed on a tablet computer. Amanda can read what someone in theatre says almost immediately it is spoken.

Amanda says, “the main thing that I use it for is when they are quizzing us in the middle of the procedure, especially questions about anatomy. …. At other points there will be commands like ‘hold this retractor’ or ‘cut this suture.’”

She also uses hearing aids and picks up clues from body language. As she says, “I use visual cues. A lot of times there are posture changes, their hands change or there’s a pause … It’s really a visual game …. Deaf people are visual learners by nature so it’s nice to be able to take part in something that kind of uses our strengths.”

Her tutors want to make sure that all their students have a similar experience, whatever interests, background or disability they may have. “Who knows, Amanda may decide she wants to be a surgeon.” “If she has the motivation, we have to bring in the means.”

What about in the UK? Well, I don’t yet know of someone using speech-to-text in the operating theatre in the UK but some people are using it for some of their training or in conferences. If we don’t ask, we won’t get. So consider asking whether you can have speech to text reporting (STTR) for certain parts of your work and training.

Most commonly, the palantypist joins you wherever you are. Some can also offer remote STTR over an internet connection, as Amanda has in theatre.

Please do get in touch if you have experience to pass on of using STTR. Thanks.

Collaborative for Communication Access via Captioning

Link to CCAC website

This video was distributed by CCAC, an international group of volunteers advocating better access to captioning and CART (realtime captioning/live speech to text reporting.) They welcome new members and opportunities to collaborate with other organisations and individuals .

 

 

*It’s usually called (realtime) captioning in the US and (live) speech to text reporting in the UK.

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Cochlear implants with stethoscopes

More information coming shortly. Meanwhile, please use the contact form for advice.

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Open fitting hearing aids with stethoscopes

More information coming shortly.

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BTEs with stethoscopes

More information coming shortly.

In brief, options include:

  • removing your hearing aids and using a stethoscope with normal earpieces
  • adapted ear pieces or ear moulds
  • headphones are often, but not always, possible
  • Certain electronic stethoscopes can also be connected using your T switch or direct audio input (DAI) cables. However it is better to use stethoscope earpieces, adapted ear pieces or ear moulds or headphones if possible. These usually bypass hearing aid speakers, which do not have good low frequency response.

See also stethoscopes with hearing aids.

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ITEs with stethoscopes

More information coming shortly.

In brief, options include:

Adapted ear pieces and ear moulds can be uncomfortable over ITE aids. They can also give problems with feedback, as can headphones.

If your hearing aids do not have vents, the preferred option is to remove them for auscultation. Otherwise the sounds are being transmitted by your hearing aids. The speakers do not usually have a good low frequency response.

  • Certain electronic stethoscopes can also be connected using your T switch. Again, this is not ideal due to the lack of low frequency response.

See also stethoscopes with hearing aids.

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