 Good morning. Welcome back to Why In The Morning. My name is Joanne Muchache. You are watching the Y254 channel and this is specifically The Health Show. And so, you guys, I've posted some questions. I want you guys to talk to us about Answer Us as we have in this discussion. And the way you can do that is through our social media handles. That's on Facebook and Twitter. That's Y254 channel. And on Instagram, it's Y254 underscore channel. I can be found, enjoy underscore channel. Today, we have a guest that is focusing on the ear, particularly musky or hizzy. Yes, what you are using to listen to us. Yeah, that's exactly what we're talking about today. And his name is Mr. Isaac Wahome. He is based in Kemadhi House and he'll tell us the name of his clinic and exactly the kind of focus – sorry, the kind of practice he focuses on. Karibouni Sana, join me in meeting him. Welcome. Thank you, Jo. Yeah, welcome. Yeah, my name is Isaac Wahome. Yeah. I practice at the Texter Hearing Center in Kemadhi House. And it really is a great privilege to come and talk about the hearing, which is a very important tool when it comes to communication and talking. Hearing is so important that we can never ignore at this age and time. That's true. Yeah. That's true. Because we can't have this conversation unless we're hearing each other or using some kind of sign language. Exactly. Okay. So, in practice, basically, it's helping out on people who have lost hearing. And you know, in Africa, alone, more than, you know, eight million have lost hearing. In the world, close to 466 million people have lost their hearing, have disabled hearing loss. Hold on. Could you state those figures again? That was interesting. Yeah. In Africa? So, the Diplych actually says that 466 million people have lost hearing worldwide. Yeah. Africa alone is like nine million people with hearing loss. Wow. Children, if you talk about children, every 200,000 children who are born with hearing loss in Africa, that means like two out of, you know, 100 children have hearing loss, which is a huge deal. And when you're talking about young people, it's really a big impact because of factors like noise and other things that we shall talk about, of course, that can lead to hearing loss. I see. Yeah. So, it's really an important topic to talk about in our community today and in the world that we are living today and here in Kenya. Yes. Yeah. That's right. Yeah. And that's wonderful. It sounds like you're well versing your area. Yeah. But whilst you're talking, you told me that you've been practicing general medicine for about 25 years. And after that, you decided to specialize in the air. Okay. May I ask why the interest in the air? Why not? Because I know ENT is ear, the nose and the throat. Okay. And sometimes when doctors open a practice, they focus on all of them. Okay. But you decided to focus on the air. Okay. What was it about the air that drew your interest? Okay. So if you look at basically, generally in medicine, it's helping out. And in ENT, practiced before, like you said, it's just ear, nose and throat. But you look at the air, which is a really a tiny organ that is so important that it reflects the emotions and the hearts and everything that goes through here to the heart. So if you look at people who have lost hearing and they've become disabled, they can't hear anymore. These are kind of special people that are either stigmatized, they are people who are neglected from their communities. And if you look at the majority of people, for me, it's children, pregnant women, and they're all elderly people who if they lose hearing, they lose contact with their family members, with their communities. So there's that detachment that is there with a person with a hearing loss. So for me, my focus is basically to try, you know, with together with the team and other people to bring on these people and reconnect them back to their community. That's really one of the passions that moves me towards hearing. That's wonderful. That's wonderful. And passion driven means I'm sure you'll get to achieve that. And now we can focus more about the reason why we are here. Because we're here to talk specifically about hearing and how we can educate people about it and also spread some awareness about it and also reduce the number of hearing losses. The reason why I pointed out the statistics that you said in the beginning is because I feel like those numbers are quite large. And I feel like we need to find a way to prevent these numbers. Yeah. And before we can talk about prevention, maybe we can talk about causes. Yeah. Yeah. And as we're talking, you guys do remember, hashtag why in the morning, hashtag help on Monday and do go on our Facebook and our Twitter and talk to us and answer our questions or post your own questions to Mr. Isaac Wahome and to myself. Yeah. And so let's just go back to what we're discussing. The causes of hearing loss. What's the largest and biggest, most common one that people need to know? So basically the causes, they categorize like the three commonest categorization and the simplest categorization of hearing loss is one is what we call the conductive hearing loss, which means is the mechanical blockage of sound from the, you know, the outer ear going to the ear drum. Because the ear is basically, you know, the easiest way I can say is categorized into three parts, the outer part and then we have the middle part and then the inner part that is basically when you're talking about the nerve. So the one type is a conductive type, which is a mechanical type of loss. And this one is caused by either, you know, a foreign board in the ear, works in the ear, you know, swellings in the ear and sometimes some kind of, you know, tumors or swellings in the ear. And then the other type on the middle part of the ear, sometimes you can have some fluid inside there as a result of cold or something like that. And then we have the inner part, which carries now the nerve, the nerve that transmits sounds from the outer part to the brain. And that is a sensory type of hearing loss. And that one can be caused by many things, including drugs, including genetic problems, including, you know, trauma, like, you know, like just trauma to the ear or a trauma or even just falling, like, you know, accidents, you know, it's very common. Like nowadays all of us are going on border border. And we are told to wear helmet for safety. And, you know, so many people have lost their hearing because of just, you know, falling down on the roadside, even just the motorbike or the bike, the bicycles themselves just falling down and get trauma to the ear. And it displays very tiny hairs inside there. Or even just in the part of, like the bone part, the bone part of the ear, of the ear. So you definitely lose your hearing from that. So the causes are very many of them. But of course, genetic plays a really big role. Genetics, very big role in hearing. I mean, like if you, if one person in your family has hearing loss, there's a chance that somebody else can have hearing loss in the family. I see. So that's basically a big chance. It can be passed down from like parents to children. For example, if a parent has hearing loss or is deaf, it can be passed down to their child. Yeah, it can run through the lineage of, you know, people with the hearing loss. Right. I mean, like families with the hearing loss. Right. And then the other, of course, basically is very common in pregnant women, either during pregnancy or after, or just slightly after, you know, pregnancy or during delivery, which is a really common thing that we are seeing nowadays that, you know, kids are born either asphyxics or a hypoxic and they score badly and they tend to lose their hearing, you know, after that. And nowadays we even will talk about the management of these children that are born deaf, yeah, from the beginning. Wow. Oh my goodness. And in that case, where genetics have played a part, it's quite difficult for that parent to even try and prevent. It's quite difficult. Yes. And so let's say now that we've covered genetics playing quite a part and that cannot be controlled. Now that we're out of genetics, what are some of the other ways people can get hearing losses you have mentioned? Yes. But then the pregnancy one actually has piqued my interest. I don't think I've heard that before. This is news to me. Yeah. So in pregnancy, infection during pregnancy, sometimes even trauma during pregnancy and the biggest role is the medication during pregnancy because people get sick and, you know, they use some medications that can hurt, you know, their unborn baby and that can cause hearing loss and during delivery we are saying that for when you have prolonged, you know, labor, you can tend to have some hearing loss just because based on that. And so really pregnancy is so important and especially in Kenya when you're talking about beyond zero and other things in terms of, you know, reducing the mortality. Exactly. I think one of the most important things to talk about is every child who is born should be tested for hearing and we can do that. You know, immediately a baby or a newborn is born. Immediately we have a newborn. We can do some hearing test for that and we can actually ascertain whether they are hearing loss. And you know with hearing loss, the earlier you treat it the better it is because children tend to speak from what they hear. In other words, children are like a big bucket so they just consume words and they speak later. Like a sponge. Yeah, they just absorb all that and you realize that most of the children that we meet them, they tend or parents tend to bring children to hearing clinics where it is too late when they cannot be able to speak. So which is too late and we're advising the, you know, the public is that get your child tested as early as possible. Get your child tested. And whilst we're doing this test because sometimes we go to, and before we talk about that, please you guys, I need you guys to go to our Facebook and actually respond to some of the questions I've posted there as well as post some of your own from Mr. Isaac Wahome. It's going to be an interesting discussion. Yeah, let's go on. You know when it comes to the chat, the discussion which you're having just now, sorry to slip my mind for some reason. Yeah, you know when you're talking about prevention of hearing loss and when you're talking about testing for newborns. Testing, that's what we're talking about. Yeah, you're talking about testing of newborns. I was talking about testing of newborns and you know how sometimes you test the whole body. Yeah. And it's true most of the time we do test our newborns and make sure we're, oh, is everything okay? The chest, the lungs, or the heart, everything, you know, the feet working fine. Absolutely everything is checked. And then people just kind of forget to check everything up here. Maybe eyesight will be checked, but then the ear may be neglected in most times. And I feel like we need to kind of push that when you're getting your newborn checked, just to be sure that everything's going to be perfectly fine with their hearing. Some of the things you can do is get them tested in their ears as well and not just the vital lungs. I know they're vital, but everything needs to be checked out and looked at. And you know when we're, once this happens and unfortunately in some cases someone is left and they completely lose their hearing. After they've lost their hearing, is there a particular scientific name for it? And if not, what are some of the instruments that you use? What, what, how could I say the variation of them? Because I see sometimes, and there's a, actually those are forum I attended at the, at the Kenya School for Deaf. And I could like all the, some of the hearing aids, so different kinds of variation. I was like, I was like, I wonder why they're so different. Of course they can all be the same, but maybe you can touch on that. Sure. You know, so when you're talking about management of hearing loss, you know, the first type that I talked about, the conductive type, basically can be managed either surgically or medicine or with medications. You know, simple things like wax, you know, can be removed and you get, you gain your hearing there, you know, immediately. There's some sudden type of hearing loss that can be treated with medications and you, you know, it resolves. But now when you have hearing loss that is permanent because hearing loss can either be temporary or can be permanent. So the permanent type is the one that basically involves the inner ear or involves the nerve. So this type of hearing loss basically requires rehabilitation. And one of the ways we rehabilitate is by giving, you know, listening devices and the commonest type of listening devices to one of them is a hearing aid and a cochlear implant. And rightly like you said, when you're talking about a hearing aid, there are so many types of hearing aids, some of them are put behind the ear, around here, some of them just, you know, outside here and some are inside the ear. And I mean, that is the kind of variation you have. And when you're talking about the hearing aid, you have to look, you have to be tested first for a hearing problem. And then we are certain, okay, what level of hearing problem you have, and then from there we can select, and then from there, we can select which hearing aid we are going to give you. And there's the technique and the technology that we have nowadays is so smart and is so good that, you know, hearing aid nowadays, we are calling them, you know, they're cool. They're cool things to wear because they can track your blood pressure nowadays. They can track your, you know, your sleeping pattern. You know, your general health because hearing loss affects your general health. It's, you know, in elderly people we say you can have cognitive decline, like, you know, memory loss or dementia. And one of the ways that, you know, scientists have come up with is we are able now to track your brain. We are able to track how active you are and, you know, your blood pressure, your general health with a hearing aid, you know, so nowadays hearing aids are becoming so cool and with a lot of technology. Previously, the hearing aids we have, they wouldn't control the environment, environmental noise and all that. And they're so cool. This gadget is so cool that, you know, they have come in a big way to help out in adults and in children. And in children, one of the ways that they're helping out is, you know, in classrooms, they can be able to reduce all the background noises and they can be able to go sit with the teachers. And the hearing aid reduces background noise so that the child can concentrate on the one voice of the teacher. So basically what the hearing aid does is that it amplifies everything. Okay. And then it narrows down, like, you know, like a V, narrows down to somebody who's speaking, because the hearing aids can detect when we have noise and when somebody's speaking. For instance, when you're talking, when you're talking, you are talking and then you're pausing in between. But when there's noise, it's just like, blah, blah, blah, continuous kind of, you know, noise. So the hearing aid will be able to tell, okay, this is a human being speaking and this is noise and it will reduce the noise and concentrate on the human being that is speaking. So this is how so cool about the hearing aids. Now I see why you're calling it cool. That is pretty cool. That's amazing. Really? And you know, I'm not trying to say wish I could know, but how many times have we thought, I wish I could just drown out all the background noise? Just when you're walking in the streets, it's so much. You're right. It's just like, oh man, if I could only silence everything. But you know, that's a whole different way of looking at things. And I think that is very cool that this technology is working in such a way, especially to focus on children. Because being in school, sometimes you are, I don't know, some children are not concentrating too well. Some are talkative, some are whispering. And if you're wearing the hearing aid, it might pick it up. And so the technology has made it so well and cool, as you said, to the point that it drowns everything out. And this child can focus on what the teacher is saying. And when it comes to, sorry, it looked like you had something to say. Yeah, I mean like when you're talking about the devices that we are using now in school and streaming what you call live streaming of the teacher and so on, you realize that a child with the hearing loss, they will never, they'll never concentrate with the environment because they're in their own world, they're isolated. Some of them have this stigma and fear within themselves and they just live in their own world. And when you put a device like a hearing aid and they can hear the signals back, you're bringing back to the community. I mean like for instance, I had one child with one side, he couldn't hear from one side and the other side was okay. And when we tested, after we tested the hearing loss, a hearing and then we were, you know, the mother asked innocently, why didn't you say that you couldn't hear from this other ear and the child was like, I thought that's how we're supposed to hear. And you see, this is what happens. That's what they believe. They believe like everybody is not hearing. And they're just talking. They're just looking at their lips. They just lip read and they develop that skill so well that they can actually tell what you are about to say or what you're saying just by reading your lips. And mothers don't understand that, that the child, they start seeing some signs and symptoms like probably this child is ignoring me. The TV is quite loud. The child likes loud environments. Most of the time it's not concentrating and all those kind of things. When I call him after calling several times. I mean like they are beaten most of the time. Why can't you hear? I'm calling you and you just can't blame anything else. It's just hearing loss. It's a huge problem. Yeah, that's pretty sad. And most of the thing, the reason why actually I absolutely love the health show is because everything that we discuss opens people's minds up. Because what you said, there's a kid being beaten up by the mom because the mom doesn't get the kid is deaf. And something so simple as that, this is what we're doing here. We're trying to let people know that look, you might want to check deeper. You might want to stop caning somebody and let them check their hearing checked out. If they're really not hearing you, you're calling them a hundred times. You might want to go and check that out instead of letting it out on your child. And thank you so much for doing that. Thank you for coming to share with us. And as we continue, because I'm waiting for your responses to Fadali, Isaac Wahomey wants to hear your questions and he wants to answer them straight to you. And if you don't, I say tapata until next Monday. Yes, but let's go on. So, you know, there's something you told me when we're talking once again that here in Kenya, the practice for the focus on the ear is so low. You said that there is only three in the whole country. And in Nairobi County itself, there's one which happens to be you. Yes, I'm wondering, it seems like if that was a business, I mean, success, hey, because there's no competition. You're the only one providing a certain service. I'm sure, you know, I can't say that this competition is there. And why, why aren't people studying on this? What's the reason? Are people not interested in the ear? Are they too fearful about it? Or is there not enough information and awareness about it? Really, you know, hearing is a teamwork. And we have like, you know, we have the ENT surgeons who manage, you know, the medical, you know, and the surgical aspect of it. And then we have the ENT clinic courses, we have the ENT nurses, we have, you know, the audiologists, we have the audiology technician. And the now where I fall is a hearing instrument practitioner. Hearing instrument practitioner. Yeah, which means, you know, like in the country, we are only three of us who have been trained, me being here in Nairobi, and the two guys are basically international guys. You know, we are really few, but we are working and it's a growing industry, it's a growing industry. And hearing loss, it's not well known. It's not like malaria, it's not like pneumonia. You know, people with hearing loss, they get this problem. And the height, because it's painless, nobody can see whether you have, you know, a wound or something about hearing loss. So most people just suffer in silence. Yeah, they just suffer in silence because it's painless. And it's a disability that you can see. And even the cost, even the services that are provided, there are very few places where you can go for a hearing check. And, you know, it's a field that really needs a lot of public awareness, especially in our country here in Kenya. We really need to have a lot of awareness on the hearing problem. And for young people, you know, we'll talk about young people, but it's an industry that affects all of us in one way or another, either by people who are surrounding us or people who have hearing loss. Because hearing loss basically, it has some stages. There are people who, when they have a hearing loss and you tell them, they deny, they just coil up and deny, there's no way I can lose my hearing. There's no way I can, you know, I cannot be hearing. Because this essentially now makes them unfortunately disabled. And nobody wants to be labeled that. Exactly. You know, like in our community, you become so stigmatized. And we are really, you know, with WTO and other organizations in Kenya, you know, we're trying to sensitize people that if you have a hearing problem, check your hearing. You know, the WTO came up with a brilliant tool that you can do your hearing test at home with your phone. Just download the application from the WTO. Have your hearing. And once you have a problem with your hearing loss, you need to look for a designated hearing care professional to have your hearing checked. And probably you can be treated. It could be just wax. You know, common problems. It could be just wax. Yeah. Just a foreign body or kid who has just put a rubber or a pencil or a piece of paper inside there. Oh, yeah. Something shouldn't, yeah, foreign body, like you said. And you know, I want us to look at these comments. But before we look at them, there's one thing I want to bring up because the questions that we asked, you know, there's this in the, I think it's in the 80s, was it? There's these rock bands, the upcoming rock bands, like when rock used to be rock, like with the, with the screaming and with the craziness and attending a concert. I used to see people like doing this to their ears just to make sure their ears are still there. And a lot of rock stars were being asked, how do you go through this? Like you're going through this, you're, you're all the time, every month, a couple of times a month. And aren't you worried for your hearing? And they used to kind of surround this whole thing. And even parents used to tell us, don't listen to rock music. It'll spoil your ears. But we're not going to focus on one genre. We're going to talk about the loudness of music. And if my producers can now put up the question, put up the questions, please. We can talk about now the, because most of times I use it easy to not to hear. Everywhere you go in Nairobi, everyone has earphones in their ear. You're not going to walk without earphones. If you do, you're not cool or you're just boring. I don't know. Everyone has an earphone in their ear with music. People maybe just listen to their news. And sometimes when you share an earphone with somebody, you're like, hey, I'm going to make a loud. And you're like, oh, that's his kick. I'm going to make a loud. Then I'm like, uh-huh, a sign. I'm going to make a loud. Can we please talk about some of the things to me? It's music and loud noises and nothing. I guess people go clubbing, but constant clubbing or DJs with constant earphones and constant music all the time. Is there any effect to that? Or is there no effect? Sure. So I mean, like noise. We call it noise-inducing loss. It's a huge problem. Noise-induced hearing loss. Yeah. And it can either, like you said, it can either be an occupational problem or a social problem. Occupational people who are working in industries that are really noisy. Oh, yeah. Factories. Yeah. Factories and so on. They tend to lose their hearing just from work. And then the social places. Could you please hold your microphone in the middle? Yeah. So the matatos, the clubs and so on. So just the moment you go inside there, you tend to be in an environment that is noisy. And as the more you stay there, when you come out from that environment, you realize that, oh, looks like your hearing has sort of gone down. Yeah. So that one, we usually call it a temporary shift. You know, like your ear has to adjust to that noise. And then when you come out, you know, your hearing goes down. Now there are people who have lost instantly their hearing from, you know, loud music. No. Yeah. You just lose like that. Because, you know, there's very tiny, tiny hair inside the ear that, you know, it's like, it's like a wire. They keep bending. Every time there's loud sound, they bend. Every time they do like that. So that bending basically breaks them, breaks the hairs. And once you get that, you get a permanent type of hearing loss. So you just lose your hearing like that. You lose your hearing like that. Yeah. And it's permanent. Wow. That's interesting. And you've had some of the ways we lose our hearing. And right now, I want to get back to you guys. Our viewers want to talk to you and to answer some of the questions. Thank you, Mr. Mohamed. Thank you so much for being here because some of these, I'm sure I can't get through, but let's see. We have Mr. Steve Kihiu saying, watching from Muranga, I rarely use earphones and I clean my ears using water. And I think the question that was asked is what's safer to use between water and earbuds to clean your ears? Which one is safer? How do we clean them nicely? So for us, we say don't put anything inside the ear. The only thing that can fit in your ear is your big toe or your elbow. In other words, what it means, don't do anything. Don't put anything. Because the ear is a conveyor belt. It just does like self-cleaning. It removes wax from or dirt from inside there to outside here. So the only thing you can clean is the outer part with a cotton. I mean like with a towel. A wet piece of towel. Just outside here. Don't put anything inside there except your big toe. That's what we usually say. So the way we used to, you know, my mom used to put me to sleep by putting my head on her lap. My body here and my head would be here. And then she told me, okay, it's baby don't move. And then she do this. And I was gone in like two minutes. I was asleep. It was the best feeling. And there are many people, you see, because I was like, of course, that is wrong. Yeah. I mean, like that kind of feeling of putting inside there, I've seen so many people who have pushed their ear drum inside there, sometimes accidentally being pushed. They come in the clinic with, you know, a retained part of the cotton bud and so on. And, you know, the problem with that is because of itchiness. And itchiness is what is like a cycle. You start it, you don't stop. You just feel like you want to go on and on and on and that sweetness, you know, that kind of a thing. And that's what happens. And we usually say, don't do anything like that. Just leave it. If you feel like your ear is blocked, if you feel itchy, there's a problem. You need to see your anti-doctor. And you need to put all sorts of things in their ears. Depends on the communist things. They injure that. They get infections after that. You know, they put all sorts of things. And then the other question there is about the connections between the ear and the nose. Yes. That's from Mr. Joffrey Mishayui. Thank you, Mr. Joffrey Mishayui. Yes. Definitely. There's a connection between the nose and the ear. There's a tube that connects the ear with the nose that we call the stretching tube. And basically the function is just to equalize the pressure between the inner part or the middle part and the external part. So that is a connection that is there. And for children, and sometimes adults, it's very important because sometimes fluid that is retained inside there, what we call middle ear fusion, can cause hearing loss. It's very common, especially with children who have big adenoids or things like those ones. They get fluid retained there and they have to be done maybe a surgical procedure or maybe treated so that that fluid can be drained and they can regain their hearing. So sometimes you realize if you're climbing a mountain or you're going on a high altitude, your ear is blocked. It's basically that part that is collapsed. Oh, it has collapsed. And then as you're coming down from that area, there's a pain. Yeah, because, you know, the ear drum moves inside there. So that movement of the ear drum, because that collapse is what puts the ear drum inside and it causes some excruciating pain. Interesting how the body works just so the body can work. Yeah, it's so organized. Everything God has made the ear and the nose so organized. Yeah, it's too deep. Skylar music. He's saying earphone use because we're asking how long do you wear your earphones because there's some all the time. Yeah, all the time. So for the earphones, one of the most important thing is the time, the duration of time you're using, the type of earphones that you're using and the loudness you're getting into because the more the length, the type, the type and the volume and the volume that you're using. So if you're using high volumes for a long duration of time, it means that you start getting gradual hearing loss. You know, as we get old naturally, we lose our hearing, but now the more you use your earphones or loud noise, the more you, you know, that hearing will start to come out quickly. I see. Okay. And, you know, I don't know what to do because I use earphones as well. I can't lie. There are times when I'd like to listen to music and block everything out. Could you maybe advise me on safe use of earphones? Yeah. So one of the safe way we use, sometimes we encourage people to download applications like one of the applications called Hear Angel, even for children. Hear Angel. Yeah. So these applications that they control how much time you're spending on your phone or your laptop or your iPad, and they can tell you sometimes, okay, you need a break. And sometimes they cut off that whatever, switch it off so that you can have a break. And sometimes now all the manufacturers are mandated, you know, to make sure that they make you aware that if you exceed a certain volume, for example, if you exceed 80%, then they give you that warning, okay, this one might be harmful. It even says there on the phone, listening at higher volume would be harmful. Yeah. Exactly. So we usually say 80, the rule of 80, it should be less than 80%, always, always. And you should spend, you know, very few hours down there, maybe, you know, not more than two hours. And you should always have like a break in between and so on. So Mr. Skyler, he has the right idea. He may listen in the morning when he's going to work. Yeah. And in the evening when he's coming home. And that should be okay. Yeah. Okay. Yeah. And the type, I'm interested about that. Why is a type, why does a type of earphone play a part in hearing loss? One of them is the quality of the hearing, the earphones. Number two is, you know, the earphones, the way we put them, you know, we like to put them quite inside there so that we can feel the bass. And you know, the closer you know, you know, the cochlear, the cochlear is like an amusement part. It goes round like to that. And the first beat is where you have the bass and the apex part is where you have the small, you know, high frequency kind of sounds. And we like by the time it reaches to the high frequency, you're using the low frequencies and the low frequencies is the bass. So it means to start killing the high frequencies and before the bass. So people tend to have the high frequency die quite early. Yeah. And what we call the high frequency hearing loss, very common with elderly people. That's what they lose. And the more you use earphones and the more you push inside there and the more you like the bass, the more you lose your high frequencies. The one that I get scared about is, you know, in the Matatus, there's some, there's a way that you can place the microphones, the speakers in such a way that they're not going to harm your hearing. But then, like next to your ear on the corner, one is here, one is over here, and then you're just hearing some sharp loud. And I'm thinking to myself, if that's your ride every morning, maybe that's your favorite, there might be some kind of effect that you get from that, as well as from the Makanga as well. They are on a daily basis, morning till evening. Easy Rutsa Rungai with a blasting music. And so I think we need to look at, we need to look close to home and kind of look at the things we're doing on a daily basis that can affect our hearing because hearing loss is not that far, you know, and it's a thin line between you're okay today, you're disabled tomorrow. And yes, that's it. And so, and like you said, you can lose your hearing like that just from loud music. And so, some of the things we need to do right now are to kind of, as we wind up, let our people know some of the tips to keep hearing at the top, to keep our hearing at the best, so we don't keep pardoning people like, what should I say, like pardon me, just, and you can hear even someone whispering to you. What are some of the tips and how to keep that longevity in good hearing? Okay, so one of the tips is that at least have an earplug every time you go to a Matatu or a club. Okay, I'll do that. Very simple. I mean, like you love going to the club, you like, you have to use the Matatu. The easiest way is to have an earplug. It reduces the sound or the noise. Number two is that to have your hearing regularly checked at least once a year if you're working in an occupational place that is noisy. And of course, that is a requirement by law in Kenya that all the places that are noisy has to be governed by some, you know, some regulations. Yes, of course. The other thing is that, you know, stop, people should stop this habit of, you know, self-cleaning and putting things inside the ear. Putting, you guys, I have to mention this again. Stop putting keys in your ears. Stop putting keys, pens, and matchboxes. Even earbuds, you shouldn't be putting them in your ears. Just leave your pupil, your poor little ears alone. Yeah. So, I mean, like, that is something that is very important. And then we are talking about pregnant mothers and, you know, newborns that they have to be done. There's the hearing tests as early as possible. And then if you realize suddenly you have lost your hearing, go to your healthcare profession, especially the ENTs. What about the sudden ringing? Yeah. Sometimes there's a ring, which, yeah. So, should that also take you to go, to check, to get checked? Of course, you know, ringing, ringing in the, in the field of ENT we call it tinnitus. It's a sign that something is wrong. It's like when you have, you know, high blood pressure, you'll have headaches. So, one of the things that every person with a noisy or ringing or buzzing noise in their ears, probably there's, there's a problem with the hearing. Maybe your hearing is going down and you need, you know, your hearing checked. It's a very common symptoms that comes with hearing. Sometimes if you have pain in the ear, blocked noses, and all those kind of things, they need to be managed so that you have better hearing. If I have seen that, you know, bosses who fire their, you know, the secretaries and their employees because, because, you know, the secretaries or the people who are working around them, they're speaking softly and they can't hear and they're like, you know, they're told something and they didn't hear and they're like, you didn't tell me this. So, at least when you're speaking loudly or when they're telling people to repeat after them, have your hearing checked. Have your hearing checked. You have advised us wonderfully, Mr. Oahome. I'd like for you to tell us, to tell our viewers where they can find you, just in case we need our hearing instruments or in case their viewers who have people that need these hearing instruments. Exactly where are you based? So, you can come at Kemadihau Seventh Floor. That's where Dexter Hearing Center is. Dexter Hearing Center. Yeah, we can check your hearing. We can advise you. We can cast on you for those people who have already their hearing loss and they've been told they need a hearing instrument like a hearing aid. You can come there. We can discuss and we can help you out for news castles like you guys. We can do the ear, custom ear mold earphones. Really? Yeah, really, yeah. We'll talk after this interview. We shall talk. That is very interesting. We do have to wind up this wonderful discussion. I had a blast actually talking to Ms. Aizak Oahome. That was great and thank you so much you guys for actually interacting with us. I love you people for that. We shall be here next Monday at 7.30 sharp to do another health segment on another different topic. Thank you so much for coming through. Thank you. Upcoming right now is Hildo Adidi with Youth and Politics. My name is Joy Mochache.