Audiology Outside the Box PLLC Profile picture
Audiology Outside the Box PLLC is a deaf-owned, counseling and rehab-focused audiology telepractice serving clients in MA, MD, VA, and DC.
Sep 20, 2021 11 tweets 2 min read
It is now Balance Awareness Week!

Did you know that the inner ear has 5 organs for balance and only 1 for hearing? The cochlea (the snail-like part) is the only organ for hearing. Keep reading to learn what the 5 balance organs do! Image description: dark blu... The balance organs are also called "vestibular end organs". These organs help people sense movement. The 3 loop-like organs in the picture are called "semicircular canals". They sense motion at different angles.
Sep 17, 2021 10 tweets 2 min read
Deaf and hard of hearing (DHH) people are often asked if we read lips. This may seem like a simple question with a simple answer. Usually, it's not intended as a hurtful question. But today, I'm going to explain why you should avoid asking it. Image description: dark blu... As I've addressed in past posts, reading lips is not like reading books. Even the most skilled lipreaders cannot understand what is said just by watching the talker's mouth. A person cannot rely fully on lipreading for communication.
Sep 9, 2021 11 tweets 2 min read
Deaf identity (whether a person prefers "D" or "d" at the beginning) isn't just about hearing levels. For some people, it isn't about hearing levels at all: it's about being part of Deaf culture and communicating in a sign language. Image description: pale blu... This is a complex topic, and no two people understand their identities in exactly the same ways. As a deaf audiologist, I think there is much more that professionals can do to affirm Deaf, deaf, and hard of hearing identities. These are some examples:
Jan 13, 2021 24 tweets 4 min read
Cochlear implant fact of the day: there is no credible evidence that sign language causes poor spoken language outcomes in children with CIs. Read this one carefully! Image description: pale blue background with circles and sca Little research exists on early sign language access in children with CIs specifically.
Jan 13, 2021 7 tweets 2 min read
Listening fatigue is a common experience for deaf and hard of hearing (DHH) people who communicate in spoken language. Understanding what another person has said requires cognitive effort. Image description: dark blue Monserrat Alternates Bold text Even more of that effort is required when a person does not hear all of the sounds clearly due to background noise or another reason. When a person is experiencing listening fatigue, they may feel tired, frustrated, and stressed, even after the listening situation is over.
Jan 12, 2021 10 tweets 2 min read
Today's cochlear implant myths and facts post has been challenging to write. An important distinction must be made clearly. People with different perspectives might say that "CIs work!" or "CIs don't work!" Which is correct? The answer depends upon how you define "work". Image description: pale blue background with circles and sca CIs provide access to sound. They are highly effective for this, and almost every person who uses a CI hears more than they would with a hearing aid.
Jan 11, 2021 6 tweets 2 min read
Cochlear implant fact of the day: those inspirational CI activation videos that you see on the internet do not tell the whole story. Image description: pale blue background with circles and sca When you see those videos, you see only the reaction from the CI user and/or their parents. What you don't see is how the CI user is hearing in that moment and all of the work that lies ahead of them in learning how to hear through their CI.
Nov 16, 2020 7 tweets 1 min read
Dr. Sarah Sparks, Au.D. is pleased to announced the formation of Audiology Outside the Box, an online practice serving clients in Maryland, Massachusetts, Virginia, and Washington, DC. Practice and website opening on November 30, 2020! Audiology Outside the Box offers a different mindset about audiology services. The focus is on supporting your communication and hearing-related goals, whether those involve spoken language or not. All services can be provided in American Sign Language (ASL), English, or both.