University Otolaryngology
Head & Neck Surgery, Inc.
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Brian E. Duff, MD
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Sharon E. Gibson, MD
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Charles M. Ruhl, MD
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Jan Groblewski, MD
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Jules M. Friedman, MD
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Peter T. Nigri, MD
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Robert G. McRae, MD
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Joseph P. Bellino, MD
Frequently Asked Questions (FAQs)
What is Otolaryngology?
Otolaryngology is the scientific term for the study of the ears and throat. An otolaryngologist, more commonly referred to as an ENT (Ear, Nose & Throat Specialist), is a physician that specializes in diagnosis and treatment of diseases of the head and neck. This includes the mechanisms of hearing, the nasal and sinus passages and the organs of the throat (larynx).
When should I see an Otolaryngologist?
What is otitis media?
Otitis media is the medical term for a middle ear infection. Otitis media is very common in young children. It is estimated that as many as 50% of children will have at least one episode of otitis media before their first birthday. For some children otitis media is recurrent. Otitis media often results in fluid in the middle ear, which in turn can cause hearing loss. Some signs of otitis media include crying, tugging at ears, fever, irritability and loss of appetite. Your older child may complain of pain. If you suspect your child has otitis media, consult your pediatrician or schedule and appointment to see one of our otolaryngologists (ENT). I am often dizzy, can an Otolaryngologist help?
There are several causes of dizziness or vertigo, many of which involve the balance mechanisms of the inner ear. While all of our physicians include in their specialties the evaluation and treatment of balance disorders, our neurotologist and otoneurologist posess expertise in this area. At University Otolaryngology, we also have Center for Vestibular & Balance Disorders which provides comprehensive services related to the diagnosis and treatment of dizziness. We also have a physical therapist on staff who will develop and implement a Vestibular Rehabilitation program to meet individual patient needs.
What is an Audiologist
Audiologists are health care and education professionals who identify, assess, and manage disorders of auditory, balance, and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire life span. Audiologists select, fit, and dispense amplification systems such as hearing aids and related devices. Audiologists prevent hearing loss through the provision and fitting of hearing protective devices, consultation on the effects of noise on hearing, and consumer education. Audiologists are involved in auditory and related research pertinent to the prevention, identification, and management of hearing loss, tinnitus, and balance system dysfunction. (ASHA, 2001)
State licensure is required in Rhode Island to practice audiology. Continuing education requirements allow audiologists to stay up-to-date with advances in the diagnosis and management of hearing and balance disorders. Also, the American Speech-Language-Hearing Association (ASHA) awards a Certificate of Clinical Competence in Audiology, designated CCC-A. The ASHA CCC-A indicates that this audiologist has met national requirements and attained the highest level of preparation for audiology service delivery. These national requirements include obtaining a minimum of a masters degree, completing graduate level practicum, completing a post-graduate supervised clinical fellowship, and passing a national standardized examination in audiology. CF-A is the designator for an individual who is in the process of completing their post graduate clinical fellowship in audiology and has met the remaining national requirements.
My hearing was fine yesterday and today I can’t hear, should I be concerned?
If you experience what is known as sudden hearing loss with no apparent cause you should seek immediate medical attention. Early treatment assures the best outcomes.
Should I see an Otolaryngologist if I suspect hearing loss?
Yes! Hearing loss is often considered a normal part of aging. However, there may be an underlying cause of the hearing loss that necessitates medical treatment. Depending on the cause of the hearing loss, there may be medical treatment options that can prevent further hearing loss or result in some hearing restoration. Our team of otolaryngologists and audiologists work together to provide state of the art hearing healthcare.Can I see a doctor and get my hearing tested at the same appointment?
Affording the convenience of on site physicians, we can address the medical aspects of hearing loss (including wax removal) as well as provide treatment options for our patients. Most patients are able to see one of our physicians and have their hearing evaluated by one of our audiologists the same day.
What Hearing Aid services do you provide?
Our fully licensed and nationally certified audiologists provide a full range of hearing aid services. Our comprehensive services include free/no obligation hearing aid consultations and custom hearing aid fittings, as well as repair, cleaning, maintenance and reprogramming services. Our audiologists are skilled and knowledgable in the latest state of the art digital hearing aid technology as well as traditional analog hearing aids and alternative amplification devices (such as cochlear implants, BAHA, and assistive listening devices).
How much do Hearing Aids cost?
Because we work directly with most of the major manufacturers, we are able to offer competitive pricing. Hearing aids range from approximately $700 to approximately $3300, depending upon the style and model of the hearing aid. We offer a discount on the second hearing aid as well as a discount for senior citizens. Because there is such a wide array of hearing aid technology available it is recommended that you consult one of our Audiologists who will work with you to find the aid that is right for you.
Are Hearing Aids covered by health insurance?
New Rhode Island state legislation mandating hearing aid coverage went into effect July 14, 2006. This law requires "up to" a $700 hearing aid benefit for each aid for adults and $1500 per aid for children (<18) every three years. There are several exemptions. Depending upon your individual plan, you may be entitled to a higher benefit, lower benefit or none at all. It is important to check with your provider regarding your specific coverage. The State of Rhode Island Medical Assistance program does cover the entire cost of a single hearing aid for qualifying adults and two hearing aids for children and long time binaural (two) hearing aid wearers. We are not a Medical Assistance Hearing Aid participating provider. If you have Medical Assistance, we will be happy to test your hearing, provide a certificate of need and refer you to a participating provider.
What are the terms of your hearing aid TRIAL PERIOD?
We offer a thirty day trial period for all new hearing aid fittings. Payment is due at the time of the fitting (when you get your hearing aid). We accept cash, checks, Mastercard, Visa and American Express. At the conclusion of your trial you may opt to return your hearing aid(s) and you will be refunded the purchase price less a $100 professional service and materials fee. The fee is the same whether you purchase one or two hearing aids. If you purchased two hearing aids and decide to return one at the conclusion of your trial, you will be refunded the actual difference in the price of the second aid. Do hearing aids come with a warranty?
Absolutely! Most hearing aid manufacturers offer at least a one year warranty, covering the aid for any repairs as well as for loss or damage. Many digital models come with a standard comprehensive two year warranty. Loss/damage coverage allows for a one time only replacement of the aid that is lost or damaged beyond repair. There will be a processing fee for replacement ranging from $40-$150 depending upon the hearing aid. Warranties are renewable. Fees are subject to change.
Are hearing aid accessories and batteries available for purchase?
Yes. Hearing aid batteries and accessories can be purchased at any of our four locations.
I hear noises in my ears (tinnitus), should I worry?
Tinnitus is the term for a sound that is perceived by a person in the absence of environmental sounds. Tinnitus can be experienced as noises in your ears or as being generated within your head. Nearly everyone experiences occasional tinnitus. However, if tinnitus is persistent, it may be a symptom of a variety of disorders. Persistent tinnitus confined to one ear should always be medically evaluated. At University Otolaryngology, we offer Tinnitus Retraining Therapy as one of the several treatment options for tinnitus. Other treatment options include changes in diet, drug therapy, medication changes and so forth. Effectiveness of various treatment options is dependent upon the cause of the tinnitus. Your otolaryngologist is a key figure in the diagnosis process and can help you decide on the treatment options that best meet your needs.How do I know if it is allergies or just a cold?
Often the symptoms of allergies can mimic that of a cold. Also, you may develop allergies throughout your life even if you have never had allergies before. These factors make it difficult to differentiate a cold from allergies. Your otolaryngologist is key in separating symptoms of allergies from those of the common cold. Allergies are the body's response to environmental triggers, such as pollen, mold, dust or animal dander. For instance, seasonal allergies often "flare up" in the spring or the fall. Itchiness around the eyes and nose, sneezing and post-nasal drip are signs of allergies. Nasal discharge due to allergies is clear. Often a sore throat may accompany post-nasal drip. If left untreated secondary infections (such as sinus or upper respiratory infections) may develop. Our allergy department offers comprehensive diagnostic and treatment services. 
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