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Robert K. Jackler, MD, Discussant

JAMA. 2003;289:1557-1565.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR SHIP: Mr H is a 73-year-old man who has had hearing loss for 8 years. He immigrated to the United States from Taiwan about 40 years ago. He lives in a suburb of Boston with his wife and is retired from work in scientific research. He has Medicare and supplemental preferred provider organization insurance.

In 1994, Mr H noticed that he was having difficulty hearing at laboratory seminars and at home. He found it difficult to distinguish consonants, especially d from t and p from b. Unless the topic of discussion was familiar, he had difficulty understanding it. He sought care from his primary care physician, who referred him to an audiologist. Audiometry results confirmed hearing loss sufficient to benefit from a hearing aid, so he began to wear these in both ears. Every 2 to 3 years, each subsequent audiology . . . [Full Text of this Article]

MR H: HIS VIEW

AT THE CROSSROADS: QUESTIONS FOR DR JACKLER

Epidemiology and Pathophysiology of Hearing Loss

Screening for Hearing Loss

Office Evaluation of Hearing and Audiometric Testing

The Differential Diagnosis of Hearing Loss

Hearing Aids and Assistive Listening Devices

The Economics of Hearing Aids

Surgical Options for Hearing Loss

Recommendations for Mr H

QUESTIONS AND DISCUSSION

Author Affiliations: Dr Jackler is Professor of Otolaryngology and Neurological Surgery, University of California, San Francisco, and Editor-in-Chief, Otology and Neurotology, Mill Valley, Calif.

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