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Meet the
AudCouple

Dr. Jan Liles and Dr. Susan Sheehy fondly refer to themselves as, The AuDCouple. They are best friends and business partners who founded one of Alabama’s most trusted audiology clinics, Alabama Hearing Associates.

Through the AuDCouple’s podcast and resources, many people turn to them for advice, support, and expertise on all aspects of hearing health.

If you have a question, they’d be delighted to answer!

Dr. Jan

Doctor of Audiology

Dr. Susan

Doctor of Audiology

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Basic Hearing Test

A basic hearing test begins with an air conduction test. You will be seated in a soundproof booth and single-use, foam earphones will be inserted into your ear canals. The Audiologist will ask you to push a button or raise your hand when you barely hear a series of beeps (tones) presented at various frequencies (pitches) to obtain your air conduction thresholds.

To determine whether your hearing loss is a conductive (mechanical) loss, sensorineural (permanent) loss or combination of the two, we perform a bone conduction test.  

For this test, a head band is place on the bone behind one of the ears to obtain your bone conduction thresholds. This process provides a different form of sound transmission using vibration, which bypasses the eardrum and the middle ear bones and directly stimulates the auditory nerve. When you hear the beeps/tones, you will push a button or raise your hand.

If bone conduction thresholds are better than air conduction thresholds (through the foam inserts), you have a conductive hearing loss. This suggests a problem with the mechanical structures (moving parts) of the ears.

Conductive hearing loss is often a medically treatable condition for which we will provide you with a referral to an Ear, Nose and Throat (ENT) physician. However, if bone and air conduction thresholds match, it indicates a sensorineural hearing loss (permanent), and the treatment will likely involve hearing aids.