Wednesday, October 25, 2017

Youtube daily report w Oct 26 2017

Florence Sylvester Center they have one room that's looped and that's the lip-reading class

a lot of the audiologists and hearing aid dispensers have a loop in their

office that you can try with your hearing aids that's a good thing you

still need a microphone even though you have a hearing because I know I have a

hard time understanding people because if they talk the hearing loop works

hearing loop is connected to a PA system a sound system an audio system so it's

hooked up like here anytime you come in this room there are other meetings that

happen in this room if they're using this microphone the hearing loop is

automatically on so okay so I want to introduce you to four Reba for Ibanez

from Cusco in a reminded hearing aid dispenser and she brings the cookies

every week and so let's go to yeah okay

everybody's getting

okay what's a good idea if you could turn your so an Mandel know well she is

the audiology advisor for the hearing world club she's been with me almost

from the very beginning and we work away from the meeting so we have meetings of

our own to help set up these these meetings she will when she's here at the

meeting she will talk to you you can she'll answer your questions so that's

why we invite you to come a little early so that you can you can ask her

questions okay let me we have some microphones I'm not sure for taking

questions now are you gonna wait got me if a question by the head of the deck so

I don't we're hearing it and you have given me this to use I tested it out

while you were talking it was beautifully and I am so sorry why we

don't each one officer already have it because quite often microphone doesn't

work thank you so much I really appreciate she's talking about the

t-coil she's wearing the headset with the coil

so if anybody is not hearing well in the meeting we have a couple more headsets

so if you're not hearing Tony well we can get you one

so Rick would you please

so rip using loop installer installed the loop in this room he installed the

art room he is still clubhouse 2 and the towers I forgot about the towers yes the

towers in their activity room there and and we want to put more loops in the

village sometimes 5 is a good place clubhouse 7 it's up to you you got to

ask for it talk to the clubhouse supervisors and tell them that your just

said that I'm I'm going to work with management and try to get some movement

Rick though he also did Geneva Presbyterian

Church Church of the Masters so he's doing all the looping in the area

several members here also have their TV room looped when you experience how

crystal clear this is would it be wonderful to listen to your TV at home

crystal clear and not bothering your neighbors you don't have to turn that

the TV up really loud and Rick does that so there are cards and he's here to talk

to him he provided the loop listeners today and so he's just been a wonderful

sponsor time okay thank you

I also have to talk to you about caption called CAPTCHA code doesn't have a

representative here but caption call regularly pays for her court reporter or

uh who's sitting over here and so we appreciate caption call a lot of people

in this room know me because I installed their caption called phone years ago I

haven't worked for them for four years so I I'm not in play now caption call it

actually captions everything the caller is saying requirements you want to have

the internet you have to have a landline phone and your hearing loss has to be

certified by a hearing healthcare provider or it could be a medical

provider and I have those forms here if you're interested there is absolutely no

charge for this phone and the service is paid for through a program with the

federal government or the ABA so we have professionals in the room if

you're interested in getting this phone the first step is to get this form

signed on your behalf and also I have a little application form and if you do it

on your own just tell them the hearing world club sent you so that they will

keep paying the bills here nice okay do we have any other

professional advisors I'd be a professional hearing aid dispensers no

nobody else here okay we usually get one

how many people are here for the very first time okay good good hearing loss

is leading public issues by age 80 70 75 to 80 percent have some level of hearing

loss the National Institutes for health actually says that aged 75 and older 50

percent have hearing loss so that means 50 percent Laguna Woods residence has

some level of hearing loss yeah that's not surprising okay

so hearing loss is the daily challenge but it can be overcome and that's what

we try to do here so you don't have to face your hearing loss alone it's a lot

of people say what's your hearing loss what do I do

tell me two meetings here you can talk to other people about their experience

you can talk to me and kind of guide you in the right direction and you'll be

well taken care of educated consumers here better so that's what's to learn

okay I want to thank my volunteers Susan Marilyn all treasurer Elaine secretary

all-around Daniel Lisa and Natalie Thank You volunteers okay we meet on my second

Tuesday of every month so mark your calendar in advance I actually Paul has

at the reception desk our treasurer Paul has some little stickers

that if it would help you you can put these on your calendar put it on the

second Tuesday get the month so that you will be reminded in advance and you

won't accidentally schedule another appointment so because I've had a lot of

people say oh I didn't know I was a little boy mess I didn't make it okay

membership is $15 per household and membership is January through December

when you join you don't get a membership card you get a name tag and so some of

you were wearing name tags I already printed up that's because you remember

also there's been a lot of talk about room rates clubs and room rates and I

believe the room rate is going up 18 percent so I haven't got the one word

you up from the recreation office we have a big donation can up there I

really I don't ask for donations very often I'm done I'm going to be a little

bit more nagging about that but I really do need your support both a membership

and donations to help keep everything going

including the increased room runs October schedule of events for the

hearing world club we actually are very very busy this month in addition to this

meeting on October the 16th we have a high phone training class it's already

full it's already full we have some people that signed up for that and they

are now on the November class so November class is November the 20th and

it looks like I have seven openings so I have this sheet if you would like some

basic training for your iPhone this this is a program is provided by the

California telephone access and it's for seniors with hearing loss so and the

goal the outcome at the end is you can hear better on your phone they

are not teaching Android at this time but they hope to be able to do that in

the new year but for right now if you have an iPhone

and you could benefit from a little training on your iPhone there's six

people in a class and you'll have two or three trainers per class so it's very

hands-on very one-on-one and if you'd like to sign up I'm going to start

passing this around okay please make sure that it gets to the

reception desk at the end oh boy more number words probably about the fighters

okay

that's October October the 22nd oh wait a minute

yeah that's these that signup is for November November the 20th yeah okay I

interrupted myself October the 22nd hearing whoa Club is going to be at the

senior village games come by and see me 11:32 to clubhouse too so if you're

gonna be at the village games we'll have a little table there and some little

giveaways or something so stop by and see me October the 28th this is in

recognition of audiology Awareness Month we have a special meeting and Mendell

Noel will be presenting on the newest technology of hearing aids and how to

maximize the use of aids you have now and you have to sign up there's only 30

seats that's all the whole the room holds 30 seats so I'm going to pass have

another sign-up sheet

there's three people already on this list so if you want to come this is

going to be in the pine room in the community center on the 25th two o'clock

so I have one for this side of the room and I don't have a pen okay okay we're

winding down now the next meeting is November the 14th and that's the second

Tuesday of the month and it's a 2 o'clock time I'm gonna introduce Paul

now and get his presentation ready so Paul Sanchez is here today from the

Department of Consumer Affairs in particular he he raised over the long

words speech pathologist audiologist and hearing aid dispensers board and I heard

somebody called that the slap-happy board sometimes it's that way ok so that

was the hearing aid dispensers that were was that their convention they were

calling it the slap-happy board okay so Paul is here he's going to be talking to

you I'm sure you read the advertisements that we put out about licensing of

professional education continuing education he has some things to tell you

that I'm not even aware of so I'm just gonna let him get started

publish you come on up here and I go to the computer and get your thing

going once I get it going okay

the devices that you're using are only good in this room it's working because

it works with the copper wire that's on the floor here thank you Tony

hey good afternoon everyone my name is Paul Sanchez

let me see if I as I get situated here I see that you're all getting Amber Alerts

and one of the reasons that we're here we're here to see oh sorry

one of the reasons we're here is to see all of you talk about what we do but we

were also here to actually visit one of my sons who is playing soccer in

Southern California when he got back to Santa Rosa went to bed thought it was

going to be a normal evening and get ready for his every day weekend routine

and calls us we're at the air hotel to tell us there's these horrible fires in

Santa Rosa so you know Phil for all these people all over Northern

California Southern California that have just lost so much so much devastation so

our hearts go out to those people right now let me Tony is very technological

probably but more so than I am because she figured this out right away

so let me go ahead and get started to talk about why I'm why I'm here back in

1992 during the vice presidential debates Admiral Stockdale asked a

question he said Who am I and why am I here and I always think

about that whenever I get up in front of people who am I and why am I here the

interesting thing is while they were asking him questions people thought he

was aloof because he couldn't hear the questions and if you recall one of the

reasons he couldn't hear the questions was because his hearing aid wasn't on

and he said I'm sorry can you repeat my hearing aid isn't on so a couple of

reasons that I'm here is to talk about hearing aids now I never thought growing

up I thought I dreamed of being a lot of things I talked to you Daniel Boone

earlier and I watched a lot of television so you said fantasize about

being The Lone Ranger an astronaut a baseball player I never thought I would

be running a licensing board and overseen the profession of

speech-language pathology audiology and hearing aid dispensing but as I became

more and more involved in consumer protection issues I began to realize how

incredibly important it is what I do for a living I'm married to a this lovely

woman here Lisa Sanchez my wife actually her job is

really interesting as we're driving through here she sees a lot of the

hospitals and skilled nursing facilities Lisa's job was to inspect and enforce

the those facilities were safe and up to code for their residents so somehow we

both ended up in the consumer protection business and that's what I do so

we're responsible for regulating hearing a dispensing audiology speech-language

pathology I'm going to go through some statistics just to kind of give you a

background but I don't want to bore you with a lot of information so be sure not

to do that our board is made up of professional licensees and public

members we meet four times a year and we exist for consumers that's why we exist

we're not just a government agency taking people's tax dollars we actually

get our money from licensee registrations the licensees that are

here they send us a fee we put that money to work

and we run a very tight ship we have 20 Berrien who I appreciate everything she

does she's very involved in consumer protection issues from another side and

we've seen this very kind woman come to our board meetings and remind us you are

you are about hearing and you don't even have a hearing loop so that people that

that have problems here can hear what you're talking about so we've got a ways

to go but we're very grateful for the input that we've gotten from from Tony

some of the issues that she's raised to the board and our board members are very

interested in pursuing those issues our board oversees you'll see later about

27,000 licensees in California we license 27,000 people yet we only have

ten employees that work in the board office so we have a big job ahead of us

and and we were very busy we work with law enforcement agencies we have sworn

peace officers we have the Attorney General's we have district attorneys in

different counties that we also work with what does the licensing board do

well obviously it licenses and you know I hear a lot of sometimes there's some

negative sentiment about regulations and licenses we have too many regulations we

have too many licenses well one of the things we do is we keep people safe we

want to make sure that people are protected that people are able to live a

life happy avoiding problems for for seniors two of the greatest expenses

you're going to have is probably buying an automobile and purchasing a hearing

aid so it's really important that we make sure that that's done properly so

we promote standards through the legislative process the regulations we

make sure that the laws are there to protect people and we also have

enforcement someone when licensees or people that are not practicing by the

law are abiding by the law we enforce the law

and I'll give you an example of something that we have done recently

there was a large hearing aid retailer in Northern California some use some

bait and switch tactics advertising a $600 hearing aid

come on aided by the $600 hearing aid when people would come in to buy a $600

hearing aid they wouldn't be told they were told that's not the right hearing

aid from for you so a none we had a nun that was one of one of the victims of

this case walked into one of these places you know she was not able to

spend her own money she had to take an invoice back to the diocese and while

she was there she was pressured into buying a more expensive hearing aid she

said in her Irish accent no no I can't even do it like she did it but she said

I I've only been authorized to spend

$1,200 she was told she was gonna spend $1,200 to bring the invoice back to the

diocese she was pressured into a credit transaction where she had to sign on for

credit she ended up spending 10 times that amount of money for hearing aids

that didn't work for her now that was a very unfortunate thing for us she was so

distraught that she stayed at a motel right outside that she was afraid to go

back to the diocese that those are the kinds of cases that we investigate I

will say this out of the 27,000 people that we that we licensed

most of our licensees are very good dedicated committed people but there are

those few that we have to watch a little more closely and sometimes take action

against in this particular case the the company had to give restitution to all

of the people that made refund claims because there are some laws that protect

you when you're buying the hearing aids some unique and special laws that were

written and just for hearing aids and I'll I'll cover that a little more as we

go along why do we need a licensing board we have licensing boards for for

contractors we have licensing boards for free dentistry you probably all have

heard of the Medical Board we have licensing boards for for many

many things and the reason we need a licensing board

is because the legislation state of California decided that certain

professions affect the the overall public health and safety of California

citizens and these professions need to be subject to regulation and control one

of the big ones is a contractors state licensing board if those contractors are

not regulated then then maybe the contractors aren't doing things to code

and do anything safely so these things these same laws apply to hearing aid

dispensers audiologists and speech-language pathologists so that's

why we exist that's why we have to license people i I would never want to

be in a country where there were no regulations or there were no licenses

and people who are victims of unscrupulous actors in these cases so

I'm very glad that we had these laws in California now when the board was

established the board was established with a main priority and that priority

wasn't to collect money from people the priority wasn't to to do anything above

consumer protection so that's what that's what we stand for everything that

we do we think about it from a consumer protection standpoint if we don't agree

with something as a board as an organization we go back to that why are

we here who are we why are we here we're here to protect consumers license your

authorizes an individual to practice their profession it's governed by state

laws and regulations licensees are required to maintain a minimum standard

of practice and it's a privilege that must be earned or maintained I talked to

licensees all the time and they don't understand why are you coming down so

hard on this why are you why are you doing this to us you know I paid my dues

maybe they they get arrested and they commit a crime and I tell them as a

licensee you are held to a higher standard than average Joe or average

Jane citizen you have to maintain a higher standard to keep your license so

that's why we have these laws now it's really important whenever you go to a to

buy hearing aids or or wherever you go that you know exactly who you're talking

to when you walk into a hearing aid dispensing retail location know who it

is sometimes the person helping you are they hearing are they a licensed hearing

aid dispenser are they an audiologist are they a trainee because you have a

right to know who's who's holding that transaction with you who's helping you

and what their qualifications are one thing that we can do one of the one of

the great things that the Department of Consumer Affairs has is something called

license verification and many of you may have already used that you may know

about this but any time you're dealing with a licensee you can look them up on

our on our website and you can find out if they have actions disciplinary

actions have been take it against them and that's something that Senator Hill

brought up in in these and these reviews of boards when the legislature reviews

the board every four years he wants to know do consumers know if they go see a

doctor that this doctor has had disciplinary action against them do

consumers know when they go to to purchase a hearing aid that perhaps this

hearing aid dispensers had actually take against him so that's something that you

can do and one of the booklets that we've left you here there is information

on how to look for license verification this is just something you can look at

our own this just shows you how many licensees are in state of California and

just to confuse you more we threw out more numbers in a box and these are this

is interesting data for you to know the number of licensees we have in

California and the number of complaints that we get as you can see out of

almost 28,000 people who get it we get about 200 complaints not all of those

complaints are valid complaint sometimes they're just people that are angry about

the way they were treated we're here only to actually actually enforce the

laws that exist so it has to be a violation of the law we step in what the

attorney asked me to talk about is the the education that the requirements for

licensure so two types of people can dispense hearings in California now that

may change somewhat but there are still laws that say that to fit to create an

ear mold oppression and to to sell a hearing aid you must be licensed in the

state of California we have some we have some of the most strict licensing laws

in the country when it comes to that so two types of people an audiologist as

license to dispense we call them dispensing audiologists or a hearing aid

dispenser other there's other types of temporary licenses but they must work

under the supervision of an audiologist or a hearing aid dispenser now in order

to become in order to to become an audiologist you must have a doctor a

doctorate degree so audiologists go through extensive training they earned

their their doctorate of audiology degree they have in addition to that 12

months of supervised experience before they become licensed and a minimum of

375 hours of clinical experience now they actually get a lot more than that

that's just a minimum that's required by law then they have to go and take a

national examination they come to us and they said now I want to be now I want to

be able to sell hearing aids what do I need to do well we make them take a

written exam and after they pass the written exam then they all come to

Sacramento and we given my hands-on practical examination

that's what a dispensing Audiology has to do before a dispensary audiologist

has to do before they sell hearing aids a hearing aid dispenser is a little bit

different hearing aid dispensers are licensed to fit and sell hearing aids

their educational requirement is they must have a high school diploma

the lawdness have required them to have any particular type of experience but

many of them do work as trainees as apprentices I know at Costco they have a

program where they actually train them that's not necessarily the state's

requirement that's just something I think that they do I know I'm talking to

them but before they become licensed they

have to take that same written examination and a practical examination

so this is why I say it's important to see who you're talking to

do your homework look at their reviews find out what kind of service they give

to people and most importantly check their license on the Department of

Consumer Affairs website find out for yourself has there been any action taken

if you don't get your answers on there give us a call send us an email and we

can help answer your questions in those areas are there any questions so far

regarding the educational requirements or indeed you are license verification

yes I think this is a very important part of what we do so I want to make

sure everyone understands we're going to be able to buy hearing aids over the

counter would that be people I'm sure like hearing aid dispensers or would it

be an audiologist okay so that's a very good question I'm going to talk a little

bit about the changing landscape of hearing aids and I'll talk a little bit

about what I know towards the end of the the presentation was very good question

and the other questions yes original form of Great Britain and by the lineage

of the clashes maker agent off the wall um the same question about

over-the-counter over-the-counter hearing aids tipped off the alcohol like

99 changed or glasses we just go to 99-cent store and get your amplification

hearing eight or nine dollars I'll talk about the changing laws again the law

that was passed by I think it was senators Warren and Grassley we'll get

to that any other questions about license requirements or license

verification okay go on to the so in addition to getting

licensed a hearing aid dispenser or a dispensing audiologists must continue

their education now this goes for all licensees my wife is a registered nurse

so every two years she has to continue her education and if any of you hold a

professional license you know this you have to go back and you have to continue

education and make sure that you meet these requirements in dispensing

audiologists yes but because there's more information that I want to include

on I want to talk about the whole topic okay I will

over the county hearing aids have have come they're happening but there's

there's a lot more to talk about there so the dispensing audiologists must have

twelve hours of continuing education every year that means that every year

that to make sure before they renew their license I think they've had 12

hours of continuing education an audiologist has have that doesn't

dispense has have twenty-four every two years and hearing aid dispenser is same

thing twelve hours a year so in addition to getting their license every

have to have a minimum of 12 hours a year I know many of them do more than

that every year to maintain their license now let's talk a little bit

about advertising because I want to just kind of stick with the topic of

enforcement and consumer protection before we into the changing landscape of

hearing aids advertising is I did answer the question that the line had changed I

answered the question a lot of change I didn't answer the question I'm going to

talk more about it that is a really interesting question and he is going to

cover it he wants to get through this part of the presentation

so I think right now it'd be a good idea and please hold all your questions until

he's done okay thank you okay so we go to when we start talking about

advertising this is a big this is a major issue with with a lot of areas of

retail not just hearing aids but it is a major issue when it comes to hearing

aids because there's a lot of misleading advertising some fraudulent advertising

and that's something that is a real challenge for our board we again as I

mentioned we have ten people and you have newspapers major newspapers all

over California people still actually buy newspapers people go online to read

these advertisements and these advertisements sometimes sell something

or they purport to sell something that is different from what they're actually

trying to sell you so you know today I say buyer beware the business and

Professions Code 651 forbids the dissemination of public communication

containing false fraudulent misleading deceptive claims now I just put this as

a foundation so that you I know that all of you probably have a pretty good

any of this we've all lived through the the going-out-of-business furniture sale

advertisers who live through the the advertising used cars and then doing a

bait-and-switch technique so these are some of the same kinds of activities

that happen a false and misleading deceptive statement is a

misrepresentation of fact that's likely to deceive so when we say we have a

hearing aid that is going to it's a world smallest and most potent hearing

aid unless you can somehow quantify that then that's a misleading advertisement

so there are a lot of a lot of examples on how that happens it an advertisement

that makes the claim of professional superiority without objective and

scientific evidence that's what I was just talking about now I don't know if

any of you ever saw this movie it's a movie about this elf that is walking

through New York and he walks you there he sees he's from obviously the North

Pole in this story he's never been through these the city streets and he

sees this sign that says the world's best cup of coffee so he comes into this

coffee place and he's just ecstatic he says you did it congratulations

you created the world's best cup of coffee great job everybody it's great to

be here and the people in the coffee shops are looking at you totally not

understanding where he's coming from but these are the kinds of claims that are

sometimes made there's misleading testimonials we actually had a case

where sometimes you have a great personality a radio personality or news

personality and they're advertising about how great a hearing aid has worked

for them when maybe they don't use hearing aids or they're not telling you

I'm actually getting paid to do this the law says that they have to actually tell

you that they're a paid spokesperson they can't compensate them without

telling you that so I included some bulleted information near materials so

you can understand that so beware of these these advertisements that are

out there in addition to the advertising laws that protect you we also have

something called the song Beverly consumer warranty act how many of you

ever ever heard of the California lemon law that's that's something that's

somewhat unique to us now another booklet that we've included

is a booklet called lemonade and it talks about the lemon law and how it

applies to purchasing automobiles this is a special law that's in the

California Civil Code that has to do with with appliances with it has to do

with cars and what it is is it makes sure that there that there's an implied

warranty in these laws well the legislature thought that hearing aids

were so important that they actually included a law that just applies to

hearing aids in this consumer warranty law and what it says is all new and use

hearing aids sold in the state will be accompanied by a retailers sellers

written warranty it even tells them the size font that that warranty needs

meaning it needs to be in at least a size 10 font and the reason they did

that was because I don't know if you remember the the Willy Wonka contract as

he's reading the contract the letters getting smaller and smaller and he says

I can't even read this it's too small and he says that's a point sign here

sometimes those things happen to business so the legislature wanted to

make sure that it's at least in a 10-point font so you can see that with

your reading glasses and when it says is if this hearing device is not initially

fit for the buyers particular needs it may be returned to the seller within 45

days of the initial date of the buyer if you returned the hearing aid the seller

can adjust the hearing aid without a charge and in a reasonable amount of

time they can replace a hearing aid or they could just promptly refund you the

whole amount paid when a sale is rescinded under the

sexual law no charge or penalty or other fee may be imposed in connection with a

purchase fitting financing or return of the device this is another area that

we've actually had to enforce we have cases where a hearing aid dispenser

decides you know you need to if you're gonna buy this hearing aid we're gonna

take you on a patient journey so you're gonna sign up for this great plan and it

it lasts a certain amount of time for weeks 60 days whatever that is and it's

beyond the warranty period so by the time you decide this doesn't work for me

you're outside of that warranty period and they're no longer legally obligated

to refund you your money so be aware that you you know there's specific laws

that cover you when it comes to hearing aid warranty now if you oh yes yes so

the state law is 45 days right that's correct but there are some places that

say you have 60 days 90 days six month warranty if they put that in writing is

that good yes they can they can they can extend the warranty as long as they want

but they're just by law they're only legally required to refund your money

within those 45 days thank you and and I'll tell you from talking to hearing

aid dispensers most of them that the reputable ones that I know would say why

wouldn't I want to work with my with my clients or my customers so most of them

do that oh I'm sorry so so most of them are reputable and

we'll then we'll provide good service any other questions on that before we go

down so if you feel that there has been a violation of the law in any of these

areas I want you to know there's a way filed a complaint and we have this is

our website that's called speech and hearing see a govt and the first thing

we have on our website right up at the top under quick hits is filing a

complaint against the licensee it's not because we're against licensees and

because we think they're all bad it's because that priority that we have that

we've been mandated is consumer protection that's why we're here so we

want to make sure that if someone has been wronged has been legally wrong that

they have a way to come and file a complaint with the board this this kind

of guides you and takes you through the pages of what to do when you do file a

complaint there are several ways to to file a complaint form we have an English

version a Spanish version a way to go online so you don't have to print a

piece of paper and send it to us or we have a specific hearing aids complaint

form and the reason we have a specific hearing aid complaint form is because

there's specific information that we're trying to get when you file a a claim a

complaint against a hearing aid dispenser now these are the kinds of

violations that we will investigate sexual misconduct conviction of a

criminal offense any practice outside of the scope of speech-language pathology

audiology or hearing a dispensing anything below their standards

deceptive or misleading advertising unlicensed practice the violations I

mentioned include violations of the warranty act these are the things that

we do not investigate we don't investigate fee or billing disputes now

the only time we really get into the the billing is when someone violates the

actual warranty Protection Act so if you say I request a refund they will not

refund me money it's you know I'm I've tried to

work with them then at that point we will step in we don't investigate

personality conflicts you know the receptionist was really

rude this this person just is not very nice anything outside of our legal

jurisdiction we don't investigate just real quick if you have has anyone here

ever filed a complaint with the board against the licensee if you do we open

the complaint this is just kind of the process it's a lot of information but

you can read this on your own basically we open the complaint we review it to

see if it's within our jurisdiction if it is that complaint can go many

directions sometimes it's a simple you know there's no violation here this is

outside of our jurisdiction sometimes it's a it's a dispute that we

can have helped facilitate we call the dispenser they give these people their

money back what's going on here and sometimes I that has happened sometimes

it's more complicating that and we need to actually involve an investigator or a

subject matter expert we go to our licensees sometimes who act as subject

matter experts and we'll look at the records and say is there a violation

here I have a question that gets

do you can a patient file a complaint against a hearing aid dispenser who has

signed themselves up as an audiologist I'm yellow number one that they put down

that they're an audiologist but they're only a hearing aid dispenser and then

the second question the current advertising a luminol dispenser is

saying that he is a hearing aid engineer changing the title is that no how do you

work with that well the first one is is very simple and that is yes if they're

if they're claiming to be an audiologist and they're not that's something that we

would investigate this is the second area I think we'd have to look into that

a little a little more but you can't mislead people into thinking you're

something that you're not or if it's a protected class or licensed I can't say

I'm a doctor if I'm not a doctor I can't make you think I'm a doctor if I'm not a

doctor so the those are the different routes we've actually been very

successful in prosecuting these cases one case in Northern California involved

five counties we we were able to get restitution that's the most important

thing people got their money back going all the way back to 2011 there's going

to be a press release out of that that's going to be coming out shortly it is

public information but people going all the way back to 2011 are gonna be able

to go back and get their money back from these people that basically rip them off

now there are some changes that are happening in hearing aids and the reason

for this is because there's a problem as as Tony mentioned here alone we can

assume that 50% of the people in this community have our hard-of-hearing so

what you said so so this is a great need in our country and hearing aids have not

always been affordable it's it's a tremendous expense and some

people are covered some people are not covered my wife will work for medi-cal

she always kind of tells me explains the loss to me I don't always quite

understand it completely but but it's a big problem and I think this was a

bipartisan bill by Senator Warren and Senator Grassley that was signed by the

president in August as part of the FDA reauthorization Act and what this does

is this this directs the FDA to create regulations to create a new category of

hearing aids that would be over-the-counter now the law is

directing the FDA to create regulations so that has not happened yet but there

will be over-the-counter hearing aids and those over-the-counter hearing aids

are going to be for people that have self-perceived mild to moderate hearing

loss there is still going to be a need for for health professionals for people

to go to a a licensed hearing aid dispenser or an audiologist that can do

a test and a professional feeding but this the feeling is that this would

still help a lot of people get some really get some improvement in their

hearing now we don't know how this is going to affect California we don't know

how they can affect a lot of states because the regulations themselves have

not been written I've been in communication with different agencies

and Washington DC trying to find out how is this going to affect us what we're

going to do one thing I do know is that we we have laws in place right now that

say you have to regulate this this profession and we're going to continue

doing that until we know otherwise we know that there are going to always be

license hearing aid dispensers and licenses on

colleges that dispense hearing aids the other thing that's in the law that's

important is that it's called the effective state law that no state or

local government can restrict or interfere with the over-the-counter I

act the part of that law so we can't write a new law that says you can't sell

over-the-counter hearing aids in California because this federal law

supersedes the federal law trumps state law no pun intended there the effect on

private remedies is that nothing in law shall affect the individual's right to

legal action under any state or federal product liability tort warranty contract

or consumer protection law what does that mean that means that a private

citizen has a right to take legal action even after this odd legal action

enforcing their warranty contract or consumer protection rights so the

question we have is will this affect our California consumer warranty Protection

Act and that's something that we don't know yet I think that you'll probably

find out because Tony is involved in some of the things that we need so

she'll probably know and she'll probably pass that on to you we invite you to

connect with our board we we webcast our meetings we're gonna do a better job of

getting making sure that those meetings are available to people that need closed

caption or other other requirements and we meet in October at Dominguez Hills we

usually have a couple of meetings in Northern California and at least one or

two weeks in Southern California every year we have a web address that's

included in your materials we have an email address feel free to send us an

email and you can call us we're working on getting more staff to answer those

phones a little bit faster so please be patient with us and bear with us Sarah

now are there any questions thank you any questions

one thing I can say is that it's kind of difficult to wade through all other

rules and regulations but if you find advertising that you think is a little

suspicious I'll bring it here to the beatings let's

take a look at it and I can always run it by Paul by the way I think I don't

why did mention it I first caught a glimpse of Paul when I was on Capitol

Hill when I was speaking before the assembly Committee in favor of a new

regulation to regulate to require t-coil instruction so that when you buy a

hearing aid the plan was we buy a hearing aid the audiologist and her name

dispenser would have to tell you about it that's all not that you have to have

one but that you would be informed about it and it to use well that's when I

first saw Paul I didn't actually talk to you that day I was scared to death and

one of the board members scared me to death

and that's okay I'm not afraid anymore and I have seen him subsequently because

I do try to go to the board meetings and I will be at the board meeting in Carson

on the 26th and 27th and I requested accommodations so there will be

captioned for me at that meeting and so I'm really looking forward to that I

will bring back new information whatever that is you know that board meeting so I

thank you and a couple of board meetings and that you have a audiology meeting I

think I may have met you and a hearing aid dispensers meeting so anyway so our

paths have crossed a few times which made it possible for me to invite you

come and talk to you so so anyway so anything that is questionable in your

mind and if you don't want to go right to them and talk to them and you can

certainly talk to me and we can write it out and get a message to Paul Sanchez so

your questions about over-the-counter hearing aids how's that been satisfied

for right now everything that was saying answer the question answer the question

because really there's it's up to the federal government to write the

regulations before we really know what else is going to happen I get him on

eBay particular the piece I guess six of them they come and they're good for

tonight they're good for independent they're good for no more than an

increase on helping you ten decibels and they're called hearing amplification

they're not hearing me that they they sing this go to your doctor for Hindi

but this is this will help you ten percent or ten decibel at least about

peace ups personal sound amplification products that's what's called a peace

out they're not allowed to call the hearing aid but eventually hearing aids

that are manufactured that comply with the federal the new federal law will be

able to be called hearing aids Tony can I say something about going over the

counter here against my hearing loss can I add something that Tony

okay sure you know you're really fortunate to have an audiology advisor

here too and I think one thing to really find out is what best meets your needs

because obviously getting something out of a catalog or online may not be for

everyone so I think it's really important to consult with the

even its economical if it isn't sometimes it's just like flushing it

down the toilet it doesn't work sometimes you think you know what you

pay for yeah well I've been following the nab

that comes in the paper every week it's called an empty hearing aid and it has a

picture of it quote doctor whether he is or isn't he

doesn't mention the price he doesn't mention whatever has any bottom or any

other controls and I'm wondering if that you guys are so smart that too if you

might know is that worth trying because there's money-back guarantee or not

I've just been every week I see this in our paper that comes in a full-page ad I

will tell you my experience from looking at numerous ads is if it's too good to

be true it's probably too good to be true I mean I hate to sound so skeptical

but there are a lot of good reasonable options out there for hearing aids and I

would just be aware of those those no risk money-back guarantee type deals

just be careful and the hearing aid sounds like a mail-order place

he calls himself a doctor and there's a website you have to order the website or

do you make an appointment to see him go to the website maybe find out more or

call on the phone

my hearing losses is really the severe and the profound so that definitely

wouldn't work for me yes is there any time I've been told different things

I've been told that the FDA is that it's going to take up to three years to get

the regulations in place but I've also been told twelve months so I would

probably guesstimate it somewhere in between there by the way that's starting

with the previous administration so I don't know what there's a lot of

administrative changes that are happening so I don't know how that

affects these regulations okay here it is for me have been very expensive said

though either missing or losing and I just wondered you think you know the

prices will ever come down but because I know these new ones these

over-the-counter that's something to work for me because I have severe

hearing loss so I'm wondering is there something in between

I mean we're seniors I'll let me I know the expert has them to say but can I

just I know one thing though that I've heard it's likely to happen is you have

a handful of companies manufacturers have dominated the market and there's a

sense that with the over-the-counter hearing aids with more companies getting

involved that that may affect the price and eventually long term bring the

prices down in three years a lot of the points have been made number one with

the over-the-counter they are working with the regulation but it is made for

mile / moderate hearing loss most of you in this room would not qualify for that

over-the-counter hearing aid because it wouldn't meet your needs and

over-the-counter hearing aid means just that over-the-counter you go into

Walgreens or wherever and you buy it and you put it in your ear and that's it

nobody's gonna adjust it for you nobody's going to take your audiogram it

is a beginner type of hearing aid so some of that amplification systems that

you're talking about they have not legally been able to call it a hearing

aid even though it does amplify the sound it's now allowing them to call it

a hearing aid the other thing is the reason hearing aids are so expensive we

know is research and development but it's because our insurance companies

don't pay for eyes ears and teeth Medicare was set up to be a major

medical insurance it was not originally set up to be everyone's everyday health

insurance it has transpired into that but that was not the original cause or

reason for Medicare so that's why it's so expensive because it is an

out-of-pocket expense what we need to do is we need to write

our senators and congressmen and tell them that if they would be proactive in

helping with hearing loss we could have I think paula was said at the CI a

meeting 13 point 1 billion dollar savings in senior health care because

there would be less Falls less

attention better cognitive skills hearing loss affects all of those things

and with seniors being so affected we need to be proactive in trying to get

that covered no one says oh my hip replacement was

way too expensive my shoulder oh my goodness no because your insurance pays

for it it's because you're feeling the pain of an out-of-pocket expense I can

appreciate where you're coming from but it is not that the hearing aids when you

when you entail the training and the therapy and everything else that you've

given a hearing aid how they're properly fit that's not this year the issue is

that we need to go back and try to get hearing aids covered we have had hearing

aids now cochlear implants are covered five years ago cochlear implants were

not covered by Medicare now that medicare covers them other

insurance companies are covering them and because of that now it's just a

degree of hearing loss right now it's severe so now they need to start

bringing the standard down to cover moderate and severe and they would save

a lot in other health care areas sorry we've got get off my soapbox

she wanted to know how much a hearing aid cost well you can go anywhere from

39.95 on the internet all the way up to three thousand four thousand dollars a

piece right they'll vary and that's where education comes into play and as

Paul was saying you have to know what you're getting for your dollar right

what is that technology doing how does that person fit what kind of therapy are

you getting there's a whole way that a hearing aid needs to be fixed and I like

to equate it as being a physical therapist if you got a knee replacement

would you think that you could just walk out the door on your own with no a judge

no therapy no physical therapy afterwards your body knows how to walk

why do you need a physical therapist if you just had a knee or a hip replacement

the reason you do is because the therapist knows your body and they know

how to push you to the point of accepting the new device and then

getting used to it and teaching your body how to use that device properly

that is the purpose of an audiologist or a hearing aid dispenser after you have

gotten fit is to retrain your brain on how to hear how to accept sound how to

apply it and how to use it to the best of your advantage for what you have left

a hearing aid does not give you normal hearing a hearing aid is an a

it's not a cure-all but it is a fantastic device when it's placed in

your ear properly and fit properly and that's where it is hearing these are

getting smarter because they can detect the difference between background noise

and speech but it's still up to the brain to do the work your brains are

doing all the work the hearing aid is only giving your brain the cleanest

clearest signal to process so when you talk about the cost of a hearing aid

you're talking about how is that device separating the words from your

background noise to give me a clean signal you could buy a radio at Radio

Shack now all denied own business anymore are

they you could buy a radio online for $4.95 or you can pay $15,000 for a

beautiful stereo system they both are giving sound but the sound

fidelity and clarity has to be appreciated and that's basically what

you're paying for in the variety of hearings so does the Medicare help no

not yet okay so what can we do right to our senators because I think Medicare's

s event writers v the Medicare is our federal government right now Medicare in

theory excuse me right now Medicare will not pay for a hearing test that will

done right now Medicare will not pay for a hearing test if it's for the purpose

of fitting a hearing aid or if there's not a medical issue behind it meaning an

ear infection well how do you know if you don't get tested right we don't so

we need to push that guideline and we need to contact our congressman

and our senators and tell them we need help with this and we can change but we

need to hear the voices as pulses from you know when you make a complaint then

things get changed cochlear implants worked on the the

scope five years ago and now they're paid so we can do it okay thank you

thank you you go girl and Paul you want to tell people about what you brought

them yes please there are some there there are some booklets in the back that

we were able to bring from the Department of Consumer Affairs from some

of the other agencies with the board there are a lot of consumer protection

boards out there that are there to help you so want to be a service to you

please take a look at these thank you

nice to give you a little gift and we want to take a picture it's a little

gift

somebody must have told you it's a gift card from Starbucks Starbucks you

borrowed this big device please turn it into the door monitor we also have if

you've learned anything today we have a donation jar please please give to the

best of your ability any amount counts our next meeting is in November and I

will send you an email if you've given me your email address if you live

through the woods and don't have an email address I'll send you a postcard

but I I need to have that information thank you very much

while I learned a lot

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Yo Yo Honey Singh Upcoming Song on Film 'Jagga Jiunda E' | Kainaat Arora | Latest News 2017 - Duration: 1:16.

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Hearing Well Club October 2017 Meeting - Duration: 1:09:19.

Florence Sylvester Center they have one room that's looped and that's the lip-reading class

a lot of the audiologists and hearing aid dispensers have a loop in their

office that you can try with your hearing aids that's a good thing you

still need a microphone even though you have a hearing because I know I have a

hard time understanding people because if they talk the hearing loop works

hearing loop is connected to a PA system a sound system an audio system so it's

hooked up like here anytime you come in this room there are other meetings that

happen in this room if they're using this microphone the hearing loop is

automatically on so okay so I want to introduce you to four Reba for Ibanez

from Cusco in a reminded hearing aid dispenser and she brings the cookies

every week and so let's go to yeah okay

everybody's getting

okay what's a good idea if you could turn your so an Mandel know well she is

the audiology advisor for the hearing world club she's been with me almost

from the very beginning and we work away from the meeting so we have meetings of

our own to help set up these these meetings she will when she's here at the

meeting she will talk to you you can she'll answer your questions so that's

why we invite you to come a little early so that you can you can ask her

questions okay let me we have some microphones I'm not sure for taking

questions now are you gonna wait got me if a question by the head of the deck so

I don't we're hearing it and you have given me this to use I tested it out

while you were talking it was beautifully and I am so sorry why we

don't each one officer already have it because quite often microphone doesn't

work thank you so much I really appreciate she's talking about the

t-coil she's wearing the headset with the coil

so if anybody is not hearing well in the meeting we have a couple more headsets

so if you're not hearing Tony well we can get you one

so Rick would you please

so rip using loop installer installed the loop in this room he installed the

art room he is still clubhouse 2 and the towers I forgot about the towers yes the

towers in their activity room there and and we want to put more loops in the

village sometimes 5 is a good place clubhouse 7 it's up to you you got to

ask for it talk to the clubhouse supervisors and tell them that your just

said that I'm I'm going to work with management and try to get some movement

Rick though he also did Geneva Presbyterian

Church Church of the Masters so he's doing all the looping in the area

several members here also have their TV room looped when you experience how

crystal clear this is would it be wonderful to listen to your TV at home

crystal clear and not bothering your neighbors you don't have to turn that

the TV up really loud and Rick does that so there are cards and he's here to talk

to him he provided the loop listeners today and so he's just been a wonderful

sponsor time okay thank you

I also have to talk to you about caption called CAPTCHA code doesn't have a

representative here but caption call regularly pays for her court reporter or

uh who's sitting over here and so we appreciate caption call a lot of people

in this room know me because I installed their caption called phone years ago I

haven't worked for them for four years so I I'm not in play now caption call it

actually captions everything the caller is saying requirements you want to have

the internet you have to have a landline phone and your hearing loss has to be

certified by a hearing healthcare provider or it could be a medical

provider and I have those forms here if you're interested there is absolutely no

charge for this phone and the service is paid for through a program with the

federal government or the ABA so we have professionals in the room if

you're interested in getting this phone the first step is to get this form

signed on your behalf and also I have a little application form and if you do it

on your own just tell them the hearing world club sent you so that they will

keep paying the bills here nice okay do we have any other

professional advisors I'd be a professional hearing aid dispensers no

nobody else here okay we usually get one

how many people are here for the very first time okay good good hearing loss

is leading public issues by age 80 70 75 to 80 percent have some level of hearing

loss the National Institutes for health actually says that aged 75 and older 50

percent have hearing loss so that means 50 percent Laguna Woods residence has

some level of hearing loss yeah that's not surprising okay

so hearing loss is the daily challenge but it can be overcome and that's what

we try to do here so you don't have to face your hearing loss alone it's a lot

of people say what's your hearing loss what do I do

tell me two meetings here you can talk to other people about their experience

you can talk to me and kind of guide you in the right direction and you'll be

well taken care of educated consumers here better so that's what's to learn

okay I want to thank my volunteers Susan Marilyn all treasurer Elaine secretary

all-around Daniel Lisa and Natalie Thank You volunteers okay we meet on my second

Tuesday of every month so mark your calendar in advance I actually Paul has

at the reception desk our treasurer Paul has some little stickers

that if it would help you you can put these on your calendar put it on the

second Tuesday get the month so that you will be reminded in advance and you

won't accidentally schedule another appointment so because I've had a lot of

people say oh I didn't know I was a little boy mess I didn't make it okay

membership is $15 per household and membership is January through December

when you join you don't get a membership card you get a name tag and so some of

you were wearing name tags I already printed up that's because you remember

also there's been a lot of talk about room rates clubs and room rates and I

believe the room rate is going up 18 percent so I haven't got the one word

you up from the recreation office we have a big donation can up there I

really I don't ask for donations very often I'm done I'm going to be a little

bit more nagging about that but I really do need your support both a membership

and donations to help keep everything going

including the increased room runs October schedule of events for the

hearing world club we actually are very very busy this month in addition to this

meeting on October the 16th we have a high phone training class it's already

full it's already full we have some people that signed up for that and they

are now on the November class so November class is November the 20th and

it looks like I have seven openings so I have this sheet if you would like some

basic training for your iPhone this this is a program is provided by the

California telephone access and it's for seniors with hearing loss so and the

goal the outcome at the end is you can hear better on your phone they

are not teaching Android at this time but they hope to be able to do that in

the new year but for right now if you have an iPhone

and you could benefit from a little training on your iPhone there's six

people in a class and you'll have two or three trainers per class so it's very

hands-on very one-on-one and if you'd like to sign up I'm going to start

passing this around okay please make sure that it gets to the

reception desk at the end oh boy more number words probably about the fighters

okay

that's October October the 22nd oh wait a minute

yeah that's these that signup is for November November the 20th yeah okay I

interrupted myself October the 22nd hearing whoa Club is going to be at the

senior village games come by and see me 11:32 to clubhouse too so if you're

gonna be at the village games we'll have a little table there and some little

giveaways or something so stop by and see me October the 28th this is in

recognition of audiology Awareness Month we have a special meeting and Mendell

Noel will be presenting on the newest technology of hearing aids and how to

maximize the use of aids you have now and you have to sign up there's only 30

seats that's all the whole the room holds 30 seats so I'm going to pass have

another sign-up sheet

there's three people already on this list so if you want to come this is

going to be in the pine room in the community center on the 25th two o'clock

so I have one for this side of the room and I don't have a pen okay okay we're

winding down now the next meeting is November the 14th and that's the second

Tuesday of the month and it's a 2 o'clock time I'm gonna introduce Paul

now and get his presentation ready so Paul Sanchez is here today from the

Department of Consumer Affairs in particular he he raised over the long

words speech pathologist audiologist and hearing aid dispensers board and I heard

somebody called that the slap-happy board sometimes it's that way ok so that

was the hearing aid dispensers that were was that their convention they were

calling it the slap-happy board okay so Paul is here he's going to be talking to

you I'm sure you read the advertisements that we put out about licensing of

professional education continuing education he has some things to tell you

that I'm not even aware of so I'm just gonna let him get started

publish you come on up here and I go to the computer and get your thing

going once I get it going okay

the devices that you're using are only good in this room it's working because

it works with the copper wire that's on the floor here thank you Tony

hey good afternoon everyone my name is Paul Sanchez

let me see if I as I get situated here I see that you're all getting Amber Alerts

and one of the reasons that we're here we're here to see oh sorry

one of the reasons we're here is to see all of you talk about what we do but we

were also here to actually visit one of my sons who is playing soccer in

Southern California when he got back to Santa Rosa went to bed thought it was

going to be a normal evening and get ready for his every day weekend routine

and calls us we're at the air hotel to tell us there's these horrible fires in

Santa Rosa so you know Phil for all these people all over Northern

California Southern California that have just lost so much so much devastation so

our hearts go out to those people right now let me Tony is very technological

probably but more so than I am because she figured this out right away

so let me go ahead and get started to talk about why I'm why I'm here back in

1992 during the vice presidential debates Admiral Stockdale asked a

question he said Who am I and why am I here and I always think

about that whenever I get up in front of people who am I and why am I here the

interesting thing is while they were asking him questions people thought he

was aloof because he couldn't hear the questions and if you recall one of the

reasons he couldn't hear the questions was because his hearing aid wasn't on

and he said I'm sorry can you repeat my hearing aid isn't on so a couple of

reasons that I'm here is to talk about hearing aids now I never thought growing

up I thought I dreamed of being a lot of things I talked to you Daniel Boone

earlier and I watched a lot of television so you said fantasize about

being The Lone Ranger an astronaut a baseball player I never thought I would

be running a licensing board and overseen the profession of

speech-language pathology audiology and hearing aid dispensing but as I became

more and more involved in consumer protection issues I began to realize how

incredibly important it is what I do for a living I'm married to a this lovely

woman here Lisa Sanchez my wife actually her job is

really interesting as we're driving through here she sees a lot of the

hospitals and skilled nursing facilities Lisa's job was to inspect and enforce

the those facilities were safe and up to code for their residents so somehow we

both ended up in the consumer protection business and that's what I do so

we're responsible for regulating hearing a dispensing audiology speech-language

pathology I'm going to go through some statistics just to kind of give you a

background but I don't want to bore you with a lot of information so be sure not

to do that our board is made up of professional licensees and public

members we meet four times a year and we exist for consumers that's why we exist

we're not just a government agency taking people's tax dollars we actually

get our money from licensee registrations the licensees that are

here they send us a fee we put that money to work

and we run a very tight ship we have 20 Berrien who I appreciate everything she

does she's very involved in consumer protection issues from another side and

we've seen this very kind woman come to our board meetings and remind us you are

you are about hearing and you don't even have a hearing loop so that people that

that have problems here can hear what you're talking about so we've got a ways

to go but we're very grateful for the input that we've gotten from from Tony

some of the issues that she's raised to the board and our board members are very

interested in pursuing those issues our board oversees you'll see later about

27,000 licensees in California we license 27,000 people yet we only have

ten employees that work in the board office so we have a big job ahead of us

and and we were very busy we work with law enforcement agencies we have sworn

peace officers we have the Attorney General's we have district attorneys in

different counties that we also work with what does the licensing board do

well obviously it licenses and you know I hear a lot of sometimes there's some

negative sentiment about regulations and licenses we have too many regulations we

have too many licenses well one of the things we do is we keep people safe we

want to make sure that people are protected that people are able to live a

life happy avoiding problems for for seniors two of the greatest expenses

you're going to have is probably buying an automobile and purchasing a hearing

aid so it's really important that we make sure that that's done properly so

we promote standards through the legislative process the regulations we

make sure that the laws are there to protect people and we also have

enforcement someone when licensees or people that are not practicing by the

law are abiding by the law we enforce the law

and I'll give you an example of something that we have done recently

there was a large hearing aid retailer in Northern California some use some

bait and switch tactics advertising a $600 hearing aid

come on aided by the $600 hearing aid when people would come in to buy a $600

hearing aid they wouldn't be told they were told that's not the right hearing

aid from for you so a none we had a nun that was one of one of the victims of

this case walked into one of these places you know she was not able to

spend her own money she had to take an invoice back to the diocese and while

she was there she was pressured into buying a more expensive hearing aid she

said in her Irish accent no no I can't even do it like she did it but she said

I I've only been authorized to spend

$1,200 she was told she was gonna spend $1,200 to bring the invoice back to the

diocese she was pressured into a credit transaction where she had to sign on for

credit she ended up spending 10 times that amount of money for hearing aids

that didn't work for her now that was a very unfortunate thing for us she was so

distraught that she stayed at a motel right outside that she was afraid to go

back to the diocese that those are the kinds of cases that we investigate I

will say this out of the 27,000 people that we that we licensed

most of our licensees are very good dedicated committed people but there are

those few that we have to watch a little more closely and sometimes take action

against in this particular case the the company had to give restitution to all

of the people that made refund claims because there are some laws that protect

you when you're buying the hearing aids some unique and special laws that were

written and just for hearing aids and I'll I'll cover that a little more as we

go along why do we need a licensing board we have licensing boards for for

contractors we have licensing boards for free dentistry you probably all have

heard of the Medical Board we have licensing boards for for many

many things and the reason we need a licensing board

is because the legislation state of California decided that certain

professions affect the the overall public health and safety of California

citizens and these professions need to be subject to regulation and control one

of the big ones is a contractors state licensing board if those contractors are

not regulated then then maybe the contractors aren't doing things to code

and do anything safely so these things these same laws apply to hearing aid

dispensers audiologists and speech-language pathologists so that's

why we exist that's why we have to license people i I would never want to

be in a country where there were no regulations or there were no licenses

and people who are victims of unscrupulous actors in these cases so

I'm very glad that we had these laws in California now when the board was

established the board was established with a main priority and that priority

wasn't to collect money from people the priority wasn't to to do anything above

consumer protection so that's what that's what we stand for everything that

we do we think about it from a consumer protection standpoint if we don't agree

with something as a board as an organization we go back to that why are

we here who are we why are we here we're here to protect consumers license your

authorizes an individual to practice their profession it's governed by state

laws and regulations licensees are required to maintain a minimum standard

of practice and it's a privilege that must be earned or maintained I talked to

licensees all the time and they don't understand why are you coming down so

hard on this why are you why are you doing this to us you know I paid my dues

maybe they they get arrested and they commit a crime and I tell them as a

licensee you are held to a higher standard than average Joe or average

Jane citizen you have to maintain a higher standard to keep your license so

that's why we have these laws now it's really important whenever you go to a to

buy hearing aids or or wherever you go that you know exactly who you're talking

to when you walk into a hearing aid dispensing retail location know who it

is sometimes the person helping you are they hearing are they a licensed hearing

aid dispenser are they an audiologist are they a trainee because you have a

right to know who's who's holding that transaction with you who's helping you

and what their qualifications are one thing that we can do one of the one of

the great things that the Department of Consumer Affairs has is something called

license verification and many of you may have already used that you may know

about this but any time you're dealing with a licensee you can look them up on

our on our website and you can find out if they have actions disciplinary

actions have been take it against them and that's something that Senator Hill

brought up in in these and these reviews of boards when the legislature reviews

the board every four years he wants to know do consumers know if they go see a

doctor that this doctor has had disciplinary action against them do

consumers know when they go to to purchase a hearing aid that perhaps this

hearing aid dispensers had actually take against him so that's something that you

can do and one of the booklets that we've left you here there is information

on how to look for license verification this is just something you can look at

our own this just shows you how many licensees are in state of California and

just to confuse you more we threw out more numbers in a box and these are this

is interesting data for you to know the number of licensees we have in

California and the number of complaints that we get as you can see out of

almost 28,000 people who get it we get about 200 complaints not all of those

complaints are valid complaint sometimes they're just people that are angry about

the way they were treated we're here only to actually actually enforce the

laws that exist so it has to be a violation of the law we step in what the

attorney asked me to talk about is the the education that the requirements for

licensure so two types of people can dispense hearings in California now that

may change somewhat but there are still laws that say that to fit to create an

ear mold oppression and to to sell a hearing aid you must be licensed in the

state of California we have some we have some of the most strict licensing laws

in the country when it comes to that so two types of people an audiologist as

license to dispense we call them dispensing audiologists or a hearing aid

dispenser other there's other types of temporary licenses but they must work

under the supervision of an audiologist or a hearing aid dispenser now in order

to become in order to to become an audiologist you must have a doctor a

doctorate degree so audiologists go through extensive training they earned

their their doctorate of audiology degree they have in addition to that 12

months of supervised experience before they become licensed and a minimum of

375 hours of clinical experience now they actually get a lot more than that

that's just a minimum that's required by law then they have to go and take a

national examination they come to us and they said now I want to be now I want to

be able to sell hearing aids what do I need to do well we make them take a

written exam and after they pass the written exam then they all come to

Sacramento and we given my hands-on practical examination

that's what a dispensing Audiology has to do before a dispensary audiologist

has to do before they sell hearing aids a hearing aid dispenser is a little bit

different hearing aid dispensers are licensed to fit and sell hearing aids

their educational requirement is they must have a high school diploma

the lawdness have required them to have any particular type of experience but

many of them do work as trainees as apprentices I know at Costco they have a

program where they actually train them that's not necessarily the state's

requirement that's just something I think that they do I know I'm talking to

them but before they become licensed they

have to take that same written examination and a practical examination

so this is why I say it's important to see who you're talking to

do your homework look at their reviews find out what kind of service they give

to people and most importantly check their license on the Department of

Consumer Affairs website find out for yourself has there been any action taken

if you don't get your answers on there give us a call send us an email and we

can help answer your questions in those areas are there any questions so far

regarding the educational requirements or indeed you are license verification

yes I think this is a very important part of what we do so I want to make

sure everyone understands we're going to be able to buy hearing aids over the

counter would that be people I'm sure like hearing aid dispensers or would it

be an audiologist okay so that's a very good question I'm going to talk a little

bit about the changing landscape of hearing aids and I'll talk a little bit

about what I know towards the end of the the presentation was very good question

and the other questions yes original form of Great Britain and by the lineage

of the clashes maker agent off the wall um the same question about

over-the-counter over-the-counter hearing aids tipped off the alcohol like

99 changed or glasses we just go to 99-cent store and get your amplification

hearing eight or nine dollars I'll talk about the changing laws again the law

that was passed by I think it was senators Warren and Grassley we'll get

to that any other questions about license requirements or license

verification okay go on to the so in addition to getting

licensed a hearing aid dispenser or a dispensing audiologists must continue

their education now this goes for all licensees my wife is a registered nurse

so every two years she has to continue her education and if any of you hold a

professional license you know this you have to go back and you have to continue

education and make sure that you meet these requirements in dispensing

audiologists yes but because there's more information that I want to include

on I want to talk about the whole topic okay I will

over the county hearing aids have have come they're happening but there's

there's a lot more to talk about there so the dispensing audiologists must have

twelve hours of continuing education every year that means that every year

that to make sure before they renew their license I think they've had 12

hours of continuing education an audiologist has have that doesn't

dispense has have twenty-four every two years and hearing aid dispenser is same

thing twelve hours a year so in addition to getting their license every

have to have a minimum of 12 hours a year I know many of them do more than

that every year to maintain their license now let's talk a little bit

about advertising because I want to just kind of stick with the topic of

enforcement and consumer protection before we into the changing landscape of

hearing aids advertising is I did answer the question that the line had changed I

answered the question a lot of change I didn't answer the question I'm going to

talk more about it that is a really interesting question and he is going to

cover it he wants to get through this part of the presentation

so I think right now it'd be a good idea and please hold all your questions until

he's done okay thank you okay so we go to when we start talking about

advertising this is a big this is a major issue with with a lot of areas of

retail not just hearing aids but it is a major issue when it comes to hearing

aids because there's a lot of misleading advertising some fraudulent advertising

and that's something that is a real challenge for our board we again as I

mentioned we have ten people and you have newspapers major newspapers all

over California people still actually buy newspapers people go online to read

these advertisements and these advertisements sometimes sell something

or they purport to sell something that is different from what they're actually

trying to sell you so you know today I say buyer beware the business and

Professions Code 651 forbids the dissemination of public communication

containing false fraudulent misleading deceptive claims now I just put this as

a foundation so that you I know that all of you probably have a pretty good

any of this we've all lived through the the going-out-of-business furniture sale

advertisers who live through the the advertising used cars and then doing a

bait-and-switch technique so these are some of the same kinds of activities

that happen a false and misleading deceptive statement is a

misrepresentation of fact that's likely to deceive so when we say we have a

hearing aid that is going to it's a world smallest and most potent hearing

aid unless you can somehow quantify that then that's a misleading advertisement

so there are a lot of a lot of examples on how that happens it an advertisement

that makes the claim of professional superiority without objective and

scientific evidence that's what I was just talking about now I don't know if

any of you ever saw this movie it's a movie about this elf that is walking

through New York and he walks you there he sees he's from obviously the North

Pole in this story he's never been through these the city streets and he

sees this sign that says the world's best cup of coffee so he comes into this

coffee place and he's just ecstatic he says you did it congratulations

you created the world's best cup of coffee great job everybody it's great to

be here and the people in the coffee shops are looking at you totally not

understanding where he's coming from but these are the kinds of claims that are

sometimes made there's misleading testimonials we actually had a case

where sometimes you have a great personality a radio personality or news

personality and they're advertising about how great a hearing aid has worked

for them when maybe they don't use hearing aids or they're not telling you

I'm actually getting paid to do this the law says that they have to actually tell

you that they're a paid spokesperson they can't compensate them without

telling you that so I included some bulleted information near materials so

you can understand that so beware of these these advertisements that are

out there in addition to the advertising laws that protect you we also have

something called the song Beverly consumer warranty act how many of you

ever ever heard of the California lemon law that's that's something that's

somewhat unique to us now another booklet that we've included

is a booklet called lemonade and it talks about the lemon law and how it

applies to purchasing automobiles this is a special law that's in the

California Civil Code that has to do with with appliances with it has to do

with cars and what it is is it makes sure that there that there's an implied

warranty in these laws well the legislature thought that hearing aids

were so important that they actually included a law that just applies to

hearing aids in this consumer warranty law and what it says is all new and use

hearing aids sold in the state will be accompanied by a retailers sellers

written warranty it even tells them the size font that that warranty needs

meaning it needs to be in at least a size 10 font and the reason they did

that was because I don't know if you remember the the Willy Wonka contract as

he's reading the contract the letters getting smaller and smaller and he says

I can't even read this it's too small and he says that's a point sign here

sometimes those things happen to business so the legislature wanted to

make sure that it's at least in a 10-point font so you can see that with

your reading glasses and when it says is if this hearing device is not initially

fit for the buyers particular needs it may be returned to the seller within 45

days of the initial date of the buyer if you returned the hearing aid the seller

can adjust the hearing aid without a charge and in a reasonable amount of

time they can replace a hearing aid or they could just promptly refund you the

whole amount paid when a sale is rescinded under the

sexual law no charge or penalty or other fee may be imposed in connection with a

purchase fitting financing or return of the device this is another area that

we've actually had to enforce we have cases where a hearing aid dispenser

decides you know you need to if you're gonna buy this hearing aid we're gonna

take you on a patient journey so you're gonna sign up for this great plan and it

it lasts a certain amount of time for weeks 60 days whatever that is and it's

beyond the warranty period so by the time you decide this doesn't work for me

you're outside of that warranty period and they're no longer legally obligated

to refund you your money so be aware that you you know there's specific laws

that cover you when it comes to hearing aid warranty now if you oh yes yes so

the state law is 45 days right that's correct but there are some places that

say you have 60 days 90 days six month warranty if they put that in writing is

that good yes they can they can they can extend the warranty as long as they want

but they're just by law they're only legally required to refund your money

within those 45 days thank you and and I'll tell you from talking to hearing

aid dispensers most of them that the reputable ones that I know would say why

wouldn't I want to work with my with my clients or my customers so most of them

do that oh I'm sorry so so most of them are reputable and

we'll then we'll provide good service any other questions on that before we go

down so if you feel that there has been a violation of the law in any of these

areas I want you to know there's a way filed a complaint and we have this is

our website that's called speech and hearing see a govt and the first thing

we have on our website right up at the top under quick hits is filing a

complaint against the licensee it's not because we're against licensees and

because we think they're all bad it's because that priority that we have that

we've been mandated is consumer protection that's why we're here so we

want to make sure that if someone has been wronged has been legally wrong that

they have a way to come and file a complaint with the board this this kind

of guides you and takes you through the pages of what to do when you do file a

complaint there are several ways to to file a complaint form we have an English

version a Spanish version a way to go online so you don't have to print a

piece of paper and send it to us or we have a specific hearing aids complaint

form and the reason we have a specific hearing aid complaint form is because

there's specific information that we're trying to get when you file a a claim a

complaint against a hearing aid dispenser now these are the kinds of

violations that we will investigate sexual misconduct conviction of a

criminal offense any practice outside of the scope of speech-language pathology

audiology or hearing a dispensing anything below their standards

deceptive or misleading advertising unlicensed practice the violations I

mentioned include violations of the warranty act these are the things that

we do not investigate we don't investigate fee or billing disputes now

the only time we really get into the the billing is when someone violates the

actual warranty Protection Act so if you say I request a refund they will not

refund me money it's you know I'm I've tried to

work with them then at that point we will step in we don't investigate

personality conflicts you know the receptionist was really

rude this this person just is not very nice anything outside of our legal

jurisdiction we don't investigate just real quick if you have has anyone here

ever filed a complaint with the board against the licensee if you do we open

the complaint this is just kind of the process it's a lot of information but

you can read this on your own basically we open the complaint we review it to

see if it's within our jurisdiction if it is that complaint can go many

directions sometimes it's a simple you know there's no violation here this is

outside of our jurisdiction sometimes it's a it's a dispute that we

can have helped facilitate we call the dispenser they give these people their

money back what's going on here and sometimes I that has happened sometimes

it's more complicating that and we need to actually involve an investigator or a

subject matter expert we go to our licensees sometimes who act as subject

matter experts and we'll look at the records and say is there a violation

here I have a question that gets

do you can a patient file a complaint against a hearing aid dispenser who has

signed themselves up as an audiologist I'm yellow number one that they put down

that they're an audiologist but they're only a hearing aid dispenser and then

the second question the current advertising a luminol dispenser is

saying that he is a hearing aid engineer changing the title is that no how do you

work with that well the first one is is very simple and that is yes if they're

if they're claiming to be an audiologist and they're not that's something that we

would investigate this is the second area I think we'd have to look into that

a little a little more but you can't mislead people into thinking you're

something that you're not or if it's a protected class or licensed I can't say

I'm a doctor if I'm not a doctor I can't make you think I'm a doctor if I'm not a

doctor so the those are the different routes we've actually been very

successful in prosecuting these cases one case in Northern California involved

five counties we we were able to get restitution that's the most important

thing people got their money back going all the way back to 2011 there's going

to be a press release out of that that's going to be coming out shortly it is

public information but people going all the way back to 2011 are gonna be able

to go back and get their money back from these people that basically rip them off

now there are some changes that are happening in hearing aids and the reason

for this is because there's a problem as as Tony mentioned here alone we can

assume that 50% of the people in this community have our hard-of-hearing so

what you said so so this is a great need in our country and hearing aids have not

always been affordable it's it's a tremendous expense and some

people are covered some people are not covered my wife will work for medi-cal

she always kind of tells me explains the loss to me I don't always quite

understand it completely but but it's a big problem and I think this was a

bipartisan bill by Senator Warren and Senator Grassley that was signed by the

president in August as part of the FDA reauthorization Act and what this does

is this this directs the FDA to create regulations to create a new category of

hearing aids that would be over-the-counter now the law is

directing the FDA to create regulations so that has not happened yet but there

will be over-the-counter hearing aids and those over-the-counter hearing aids

are going to be for people that have self-perceived mild to moderate hearing

loss there is still going to be a need for for health professionals for people

to go to a a licensed hearing aid dispenser or an audiologist that can do

a test and a professional feeding but this the feeling is that this would

still help a lot of people get some really get some improvement in their

hearing now we don't know how this is going to affect California we don't know

how they can affect a lot of states because the regulations themselves have

not been written I've been in communication with different agencies

and Washington DC trying to find out how is this going to affect us what we're

going to do one thing I do know is that we we have laws in place right now that

say you have to regulate this this profession and we're going to continue

doing that until we know otherwise we know that there are going to always be

license hearing aid dispensers and licenses on

colleges that dispense hearing aids the other thing that's in the law that's

important is that it's called the effective state law that no state or

local government can restrict or interfere with the over-the-counter I

act the part of that law so we can't write a new law that says you can't sell

over-the-counter hearing aids in California because this federal law

supersedes the federal law trumps state law no pun intended there the effect on

private remedies is that nothing in law shall affect the individual's right to

legal action under any state or federal product liability tort warranty contract

or consumer protection law what does that mean that means that a private

citizen has a right to take legal action even after this odd legal action

enforcing their warranty contract or consumer protection rights so the

question we have is will this affect our California consumer warranty Protection

Act and that's something that we don't know yet I think that you'll probably

find out because Tony is involved in some of the things that we need so

she'll probably know and she'll probably pass that on to you we invite you to

connect with our board we we webcast our meetings we're gonna do a better job of

getting making sure that those meetings are available to people that need closed

caption or other other requirements and we meet in October at Dominguez Hills we

usually have a couple of meetings in Northern California and at least one or

two weeks in Southern California every year we have a web address that's

included in your materials we have an email address feel free to send us an

email and you can call us we're working on getting more staff to answer those

phones a little bit faster so please be patient with us and bear with us Sarah

now are there any questions thank you any questions

one thing I can say is that it's kind of difficult to wade through all other

rules and regulations but if you find advertising that you think is a little

suspicious I'll bring it here to the beatings let's

take a look at it and I can always run it by Paul by the way I think I don't

why did mention it I first caught a glimpse of Paul when I was on Capitol

Hill when I was speaking before the assembly Committee in favor of a new

regulation to regulate to require t-coil instruction so that when you buy a

hearing aid the plan was we buy a hearing aid the audiologist and her name

dispenser would have to tell you about it that's all not that you have to have

one but that you would be informed about it and it to use well that's when I

first saw Paul I didn't actually talk to you that day I was scared to death and

one of the board members scared me to death

and that's okay I'm not afraid anymore and I have seen him subsequently because

I do try to go to the board meetings and I will be at the board meeting in Carson

on the 26th and 27th and I requested accommodations so there will be

captioned for me at that meeting and so I'm really looking forward to that I

will bring back new information whatever that is you know that board meeting so I

thank you and a couple of board meetings and that you have a audiology meeting I

think I may have met you and a hearing aid dispensers meeting so anyway so our

paths have crossed a few times which made it possible for me to invite you

come and talk to you so so anyway so anything that is questionable in your

mind and if you don't want to go right to them and talk to them and you can

certainly talk to me and we can write it out and get a message to Paul Sanchez so

your questions about over-the-counter hearing aids how's that been satisfied

for right now everything that was saying answer the question answer the question

because really there's it's up to the federal government to write the

regulations before we really know what else is going to happen I get him on

eBay particular the piece I guess six of them they come and they're good for

tonight they're good for independent they're good for no more than an

increase on helping you ten decibels and they're called hearing amplification

they're not hearing me that they they sing this go to your doctor for Hindi

but this is this will help you ten percent or ten decibel at least about

peace ups personal sound amplification products that's what's called a peace

out they're not allowed to call the hearing aid but eventually hearing aids

that are manufactured that comply with the federal the new federal law will be

able to be called hearing aids Tony can I say something about going over the

counter here against my hearing loss can I add something that Tony

okay sure you know you're really fortunate to have an audiology advisor

here too and I think one thing to really find out is what best meets your needs

because obviously getting something out of a catalog or online may not be for

everyone so I think it's really important to consult with the

even its economical if it isn't sometimes it's just like flushing it

down the toilet it doesn't work sometimes you think you know what you

pay for yeah well I've been following the nab

that comes in the paper every week it's called an empty hearing aid and it has a

picture of it quote doctor whether he is or isn't he

doesn't mention the price he doesn't mention whatever has any bottom or any

other controls and I'm wondering if that you guys are so smart that too if you

might know is that worth trying because there's money-back guarantee or not

I've just been every week I see this in our paper that comes in a full-page ad I

will tell you my experience from looking at numerous ads is if it's too good to

be true it's probably too good to be true I mean I hate to sound so skeptical

but there are a lot of good reasonable options out there for hearing aids and I

would just be aware of those those no risk money-back guarantee type deals

just be careful and the hearing aid sounds like a mail-order place

he calls himself a doctor and there's a website you have to order the website or

do you make an appointment to see him go to the website maybe find out more or

call on the phone

my hearing losses is really the severe and the profound so that definitely

wouldn't work for me yes is there any time I've been told different things

I've been told that the FDA is that it's going to take up to three years to get

the regulations in place but I've also been told twelve months so I would

probably guesstimate it somewhere in between there by the way that's starting

with the previous administration so I don't know what there's a lot of

administrative changes that are happening so I don't know how that

affects these regulations okay here it is for me have been very expensive said

though either missing or losing and I just wondered you think you know the

prices will ever come down but because I know these new ones these

over-the-counter that's something to work for me because I have severe

hearing loss so I'm wondering is there something in between

I mean we're seniors I'll let me I know the expert has them to say but can I

just I know one thing though that I've heard it's likely to happen is you have

a handful of companies manufacturers have dominated the market and there's a

sense that with the over-the-counter hearing aids with more companies getting

involved that that may affect the price and eventually long term bring the

prices down in three years a lot of the points have been made number one with

the over-the-counter they are working with the regulation but it is made for

mile / moderate hearing loss most of you in this room would not qualify for that

over-the-counter hearing aid because it wouldn't meet your needs and

over-the-counter hearing aid means just that over-the-counter you go into

Walgreens or wherever and you buy it and you put it in your ear and that's it

nobody's gonna adjust it for you nobody's going to take your audiogram it

is a beginner type of hearing aid so some of that amplification systems that

you're talking about they have not legally been able to call it a hearing

aid even though it does amplify the sound it's now allowing them to call it

a hearing aid the other thing is the reason hearing aids are so expensive we

know is research and development but it's because our insurance companies

don't pay for eyes ears and teeth Medicare was set up to be a major

medical insurance it was not originally set up to be everyone's everyday health

insurance it has transpired into that but that was not the original cause or

reason for Medicare so that's why it's so expensive because it is an

out-of-pocket expense what we need to do is we need to write

our senators and congressmen and tell them that if they would be proactive in

helping with hearing loss we could have I think paula was said at the CI a

meeting 13 point 1 billion dollar savings in senior health care because

there would be less Falls less

attention better cognitive skills hearing loss affects all of those things

and with seniors being so affected we need to be proactive in trying to get

that covered no one says oh my hip replacement was

way too expensive my shoulder oh my goodness no because your insurance pays

for it it's because you're feeling the pain of an out-of-pocket expense I can

appreciate where you're coming from but it is not that the hearing aids when you

when you entail the training and the therapy and everything else that you've

given a hearing aid how they're properly fit that's not this year the issue is

that we need to go back and try to get hearing aids covered we have had hearing

aids now cochlear implants are covered five years ago cochlear implants were

not covered by Medicare now that medicare covers them other

insurance companies are covering them and because of that now it's just a

degree of hearing loss right now it's severe so now they need to start

bringing the standard down to cover moderate and severe and they would save

a lot in other health care areas sorry we've got get off my soapbox

she wanted to know how much a hearing aid cost well you can go anywhere from

39.95 on the internet all the way up to three thousand four thousand dollars a

piece right they'll vary and that's where education comes into play and as

Paul was saying you have to know what you're getting for your dollar right

what is that technology doing how does that person fit what kind of therapy are

you getting there's a whole way that a hearing aid needs to be fixed and I like

to equate it as being a physical therapist if you got a knee replacement

would you think that you could just walk out the door on your own with no a judge

no therapy no physical therapy afterwards your body knows how to walk

why do you need a physical therapist if you just had a knee or a hip replacement

the reason you do is because the therapist knows your body and they know

how to push you to the point of accepting the new device and then

getting used to it and teaching your body how to use that device properly

that is the purpose of an audiologist or a hearing aid dispenser after you have

gotten fit is to retrain your brain on how to hear how to accept sound how to

apply it and how to use it to the best of your advantage for what you have left

a hearing aid does not give you normal hearing a hearing aid is an a

it's not a cure-all but it is a fantastic device when it's placed in

your ear properly and fit properly and that's where it is hearing these are

getting smarter because they can detect the difference between background noise

and speech but it's still up to the brain to do the work your brains are

doing all the work the hearing aid is only giving your brain the cleanest

clearest signal to process so when you talk about the cost of a hearing aid

you're talking about how is that device separating the words from your

background noise to give me a clean signal you could buy a radio at Radio

Shack now all denied own business anymore are

they you could buy a radio online for $4.95 or you can pay $15,000 for a

beautiful stereo system they both are giving sound but the sound

fidelity and clarity has to be appreciated and that's basically what

you're paying for in the variety of hearings so does the Medicare help no

not yet okay so what can we do right to our senators because I think Medicare's

s event writers v the Medicare is our federal government right now Medicare in

theory excuse me right now Medicare will not pay for a hearing test that will

done right now Medicare will not pay for a hearing test if it's for the purpose

of fitting a hearing aid or if there's not a medical issue behind it meaning an

ear infection well how do you know if you don't get tested right we don't so

we need to push that guideline and we need to contact our congressman

and our senators and tell them we need help with this and we can change but we

need to hear the voices as pulses from you know when you make a complaint then

things get changed cochlear implants worked on the the

scope five years ago and now they're paid so we can do it okay thank you

thank you you go girl and Paul you want to tell people about what you brought

them yes please there are some there there are some booklets in the back that

we were able to bring from the Department of Consumer Affairs from some

of the other agencies with the board there are a lot of consumer protection

boards out there that are there to help you so want to be a service to you

please take a look at these thank you

nice to give you a little gift and we want to take a picture it's a little

gift

somebody must have told you it's a gift card from Starbucks Starbucks you

borrowed this big device please turn it into the door monitor we also have if

you've learned anything today we have a donation jar please please give to the

best of your ability any amount counts our next meeting is in November and I

will send you an email if you've given me your email address if you live

through the woods and don't have an email address I'll send you a postcard

but I I need to have that information thank you very much

while I learned a lot

For more infomation >> Hearing Well Club October 2017 Meeting - Duration: 1:09:19.

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How I Make Money Online

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Hyundai Tucson 1.6 T-GDi Intro Edition | Rijklaarprijs - Duration: 0:52.

For more infomation >> Hyundai Tucson 1.6 T-GDi Intro Edition | Rijklaarprijs - Duration: 0:52.

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jeranism WEDNESDAY Night Raw LIVE - Asshole Edition - Duration: 1:26:26.

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Comment retrouver et calculer la dérivée de racine de x ? - Duration: 2:30.

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MOUTH GUARD CHALLENGE ft. vRiezzy - Duration: 18:41.

hi guys welcome to a new video with Jesse, with me "my name is Jesse"

before we start, we made a video on his channel as well, and today where going to do the mouthguard challenge

he's gonna link it down below, yeah, down below, in the description, okay, we'll just get this ready and we'll get back

honestly i cant be bothered writing subtitles anymore lol, just listen

For more infomation >> MOUTH GUARD CHALLENGE ft. vRiezzy - Duration: 18:41.

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Ep43.0 - GIVE REAL FEEDBACK! - Duration: 3:42.

Give real feedback. Now what do I mean by this? Well I'm afraid that I'm talking to

98% of people in the world, who worry about what other people think of them, so

they actually don't give meaningful feedback; when it could be of service to

another person. You know the basic example of this, is when someone says "Hey

do you like how these clothes look on me?" If you answer yes and you think they

look terrible, then what are you doing? what about in your business? what about

when your boss does something can they ask for your input? Instead of

actually giving real input, you just say yeah it's good. How does that help? How

does that make a difference? Give real feedback. You know it's absolutely true

that some people may have an ego that takes offence. I don't mean be in their

face, you can still be compassionate. You can still be meaningful but if you don't

take a chance, trust yourself and give input when you know

it could be of service; if you hold yourself back because of the

fear of how they will react, then are you really giving your best to them? Even

more importantly, are you giving your best to you? I've spent my life being an

adviser to others, I've spent my life giving input to people. I do it every day,

I do it in situations where people haven't directly asked for it but I make

a decision. Am i doing this out of who I am, my desire to help? I'm not there to

correct people. I don't point things out that I know won't be of service. If

someone's making a mistake and I recognize that pointing it out

will just antagonize it and not make a difference, then that's okay, I don't do

it.if I see a chance, if I see an opportunity to actually give real

feedback that might help someone to make a difference for themselves, then I'll

take it. If they hate me, if they have a bad opinion of me,

then that's not because I haven't given my best,

that's about them. Don't leave things on the table, make a difference. For every

one person that takes offence at what you've said out of caring enough to

actually give the real feedback, you'll have dozens that actually appreciate it.

Sometimes the feedback that isn't received as well upfront, will change

someone's life just a little bit down the track. Take the chance, be meaningful,

be real and just remember it goes both ways. Seek real feedback and I'm going to

ask you please give me some input. Make a comment on the video. How can I make this

better? What can we do differently? What else would you like to hear me speak

about? Tell me if you think I'm wrong. Thanks very much, we'll hear from you

soon.

For more infomation >> Ep43.0 - GIVE REAL FEEDBACK! - Duration: 3:42.

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Obama Could Be Going To Prison For YEARS After His SICKEST Money Funnel Yet Was Just Exposed - Duration: 4:36.

Obama Could Be Going To Prison For YEARS After His SICKEST Money Funnel Yet Was Just Exposed.

For the past 8 years, Barack Hussein Obama did everything in his power to destroy our

country by dividing Americans along political, racial, and economic lines.

After taking sledge hammer to our country and our Constitution, Obama then gave America

one final "parting gift" in the final days of his presidency, where he secretly

funneled billions of dollars to radical left-wing activist groups.

As domestic terror groups have rapidly risen to power thanks to Obama, an investigative

journalist is now revealing the other sickening thing Obama did during his last days at the

White House that will leave you furious.

According to a bombshell report published on Tuesday, the Washington Free Beacon revealed

how Obama and members of his Justice Department schemed up a way to get extra cash sent straight

to radical leftist groups "of their choosing."

Whenever they'd get any extra cash from settlement cases, they'd simply funnel it

into the pockets of leftist radicals, who are now serving as the militant wing of Obama's

"shadow government."

Dennis Michael Lynch reports:

In August 2014, the Justice Department settled a case against Bank of America for $17 billion.

Other settlements made in penalty cases against J.P Morgan Chase and Citigroup brought the

total windfall of cash to $36.65 billion.

In some settlement cases, companies had to pay their penalties direct to nonprofits in

the form of donations, instead of giving the money directly to the U.S. Treasury.

According to the Free Beacon report, documents and emails obtained showed that people within

the Justice Department influenced where the "slush fund" money was routed to, and

conservative groups were not on their list.

Nonprofits approved for donations included UnidosUS (previously known as the National

Council of La Raza), NeighborWorks America, and the National urban League, all who support

left-leaning community organizing groups.

The Free Beacon detailed additional unbelievable facts regarding this latest Obama scandal,

revealing how there was a push for making donations to these leftist radical groups

"mandatory in all future settlements," the documents show.

They reported:

Leaders from outside groups also spoke to Peter Kadzik, the former assistant attorney

general for legislative affairs, in March 2014 to push for making donations "mandatory

in all future settlements," the documents show.

Months later, the Justice Department announced the bank settlements would include mandatory

donations to community groups.

This would additionally offer enhanced credit for the donations.

"I'm sorry to be a pest.

We keep tinkering with the settlement agreement and I want to make sure we are doing it right,"

Elizabeth Taylor, then the principal deputy associate attorney general, wrote in a November

6, 2013 email.

"Can you explain to Tony the best way to allocate some money to an organization of

our choosing?" she later added, referring to Associate Attorney General Tony West.

Email documents are provided below detailing correspondence within the Justice Department

regarding the re-directing of settlement funds to the community groups.

Eric Holder was U.S. Attorney General from 2009 through 2015.

Could you imagine the backlash if a Republican president was funneling money to domestic

terrorists?

As we're learning of our tax dollars being placed straight in the hands of domestic terrorists

like Antifa, Obama's silence following the Las Vegas massacre has been extremely unsettling

given the rumors of what was found in the shooter's hotel room.

Inside sources within the FBI hostage rescue team that day are now revealing that they

found Antifa propaganda littered throughout the hotel room, an unfortunate fact for Obama

who was busted by congressional investigators several months ago for funding radical left-leaning

groups.

Obama's Benghazi partner in crime, Hillary Clinton, has blood on her hands too, as she

was busted for giving Antifa terrorists around $800,000, although liberal "fact checkers"

like Snopes will try and deny this as the truth.

Being that Obama is tied to these radical leftist groups, the fact that an Antifa member

might have successfully pulled off the largest massacre in U.S. history is extremely unsettling.

With the mainstream media doing everything in their power to censor the truth, it's

up to Americans to help spread the truth about what's really going on, as Obama stages

his political comeback this fall.

what do you think about this?

Please Share this news and Scroll down to comment below and don't forget to subscribe

top stories today.

For more infomation >> Obama Could Be Going To Prison For YEARS After His SICKEST Money Funnel Yet Was Just Exposed - Duration: 4:36.

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Fun Baby Care Games For Girls 🎮 Sweet Baby Girl Newborn 2 - Makeover - Educational Games for Kids - Duration: 15:02.

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Lawmaker: Lack of guarantees delays Wisconsin's Foxconn vote - Duration: 2:05.

For more infomation >> Lawmaker: Lack of guarantees delays Wisconsin's Foxconn vote - Duration: 2:05.

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가수 상추 결혼? 상추 여자친구 치과의사 열애. 상추 집안 아버지 - Duration: 7:30.

For more infomation >> 가수 상추 결혼? 상추 여자친구 치과의사 열애. 상추 집안 아버지 - Duration: 7:30.

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Whatsapp या Facebook में आपकी Typing Speed 100 गुना बढ़ा देगी ये Trick | Fastest Chatting In WhatsApp - Duration: 7:40.

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100年新娘髮型潮流回顧|百年潮流回顧|Vogue Taiwan - Duration: 4:05.

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5 मिनट में प्याज से बालो को लम्बा मोटा घना करने के आसान उपाय | Baal Badhane ke Gharelu Nuskhe - Duration: 3:24.

Baal badhane ke tarike means how to grow hair fast in a week get longer and thicker hair faster and naturally

view our more baal badhane ke gharelu nuskhe video

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This Old Man Nursery Rhymes Baby Songs Children Rhymes baby bao panda - Duration: 2:28.

This old man. He plays one. He plays knick knack on my thumb

With a nick nack paddy whack Give a dog a bone

This old man came rolling home

This old man he played two

He played nick nack on my shoe

With a nick nack paddy whack

Give a dog a bone

This old man came rolling home

This old man he played three

He played nick nack on my knee

With a nick nack paddy whack

Give a dog a bone

This old man came rolling home

This old man he played four

He played nick nack on my door

With a nick nack paddy whack

Give a dog a bone

This old man came rolling home

This old man he played five

He played nick nack on my hive

With a nick nack paddy whack

Give a dog a bone

This old man came rolling home

This old man. He played six

He played nick nack on my stick

With a nick nack paddy whack

Give a dog a bone

This old man came rolling home

This old man he played seven

He played nick nack up in heaven

With a nick nack paddy whack

give a dog a bone

This old man came rolling home

This old man he played eight

He played nick nack on my gate

With a nick nack paddy whack

Give a dog a bone.

This old man came rolling home

This old man he played nine

He played nick nack on my spine

With a nick nack paddy whack

Give a dog a bone

This old man came rolling home

This old man he played ten.

He played nick nack on a sand

With a nick nack paddy whack

Give a dog a bone

This old man came rolling home

For more infomation >> This Old Man Nursery Rhymes Baby Songs Children Rhymes baby bao panda - Duration: 2:28.

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[KR](Eng sub)Starcraft II CO-OP Temple of pain(76th week) Brutal, Vorazun, Dehaka 협동전 고통의 사원 아어 - Duration: 18:40.

[Dehaka] Doesn't look bad lol [Vorazun] Just play like this. I'll use Dark templar.

[Vorazun] Instead, Corsair is like a crap in this mutation, so you must cover air enemies.

[Dehaka] Dehaka's mutalisk is OP, so it must be okay.

[Dehaka] If enemies are robotics protoss forces, it will be a piece of cake.

[Vorazun] Seriously, I have no anti-air units.

[Dehaka] Got it.

[Dehaka] Or Use Dark archon's mind control to take strengthened enemies.

[Vorazun] Is that possible??

[Dehaka] Maybe?

[Dehaka] They won't shrink to original form. [Vorazun] If that possible, it must be very fun game, right?

[Dehaka] Fight fire with fire.

[Dehaka] I'll train Mutalisks fast.

[Vorazun] And I'll train Dark templars fast.

[Vorazun] Mind control upgrade begins.

[Vorazun] Ah, crap!

[Vorazun] They shrink to original form when I take them by using mind control.

[Dehaka] That sucks.

[Vorazun] Though, I can cover anti-air a little bit.

[Vorazun] Because of Dark archons, lack of vespene is so serious.

[Vorazun] Dark archon play is so funny lol.

[Dehaka] All shall be mine~

[Vorazun] Dark archon's normal attack is much stronger than I expected.

[Dehaka] It is quite strong.

[Vorazun] Defend that enemy wave before you go there. [Dehaka] That will be okay.

[Dehaka] Are your mercenaries make you fun? [Vorazun] Yes.

[Dehaka] What a mighty mercenary force lol.

[Vorazun] Ah, you gotta be kidding me. Void Thrashers also strengthen.

[Dehaka] LOL

[Dehaka] I saw that earlier too.

[Dehaka] Awesome timing.

[Dehaka] Ah, they joined our ally.

[Vorazun] Current population : 238

[Dehaka] LOLOL

For more infomation >> [KR](Eng sub)Starcraft II CO-OP Temple of pain(76th week) Brutal, Vorazun, Dehaka 협동전 고통의 사원 아어 - Duration: 18:40.

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আপনার এন্ড্রোইড ফোনটি সেফ না!! জীবনে একবার হলেও ভিডিওটি দেখেনিন |Your Android Smartphone is NOT SAFE - Duration: 8:57.

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Top 10 WWE Wrestlers You Wouldn't Recognize 5 Years Ago || Roman Reigns - Duration: 1:50.

10 WWE Superstars You Wouldn't Recognize In 2017

wwe superstar age

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