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my name is Juan Carlos bag now and I have hidden hearing loss Before we jump in I have an interview with one of the top audiologists in the country and part of that conversation explains the concept of hidden hearing loss so the the classic patient with hidden hearing loss comes into the clinic and says I feel like I have a hearing loss and we do a hearing test and we tell the patient you're hearing tests normal and they come back and say but I have difficulty hearing I have difficulty hearing and noise I'm missing conversations right and then if you sort of scratch the surface a little bit come to find out this is a person who's maybe had quite a bit of noise exposure so we know it's happening it's happening probably at the junction of the hair cell in the inner ear to the primary auditory neuron of the eighth cranial nerve so when people have hearing tests you know our hearing tests a