Little

Apr 8, 2026

min

by Manabu Leventhal

What Most People Get Wrong About Deafness

It’s the late ‘90s. I wake up after another night out, my head fuzzy and my ears still ringing from the loud music at the club. I move my jaw and swallow hard, trying to make my ears pop like they would on an airplane. Nothing happens. I’m not too worried. I’m 19 with youthful invincibility on my side.

The next morning, I’m waiting for class to start, still trying to make my ears pop, when my friend leans over, “Hey man, your pager’s going off.” Confident it’s not mine, I take a look and am shocked to see it flashing. I hold it up close to my ear and can barely make out the alarm chime. Weird. I make an appointment to get checked out, just in case.

An assistant administers the hearing test, and the doctor comes in smiling and upbeat. He seems friendly. He looks at my audiogram, and his demeanor instantly changes. He sits directly in front of me, face-to-face, and his voice deepens, overly articulating each word. Delivering the message clearly, he says: “You have significant hearing loss, and you are never getting it back.”  

From that moment, I’ve had to relearn how to live my life, struggling to be a deaf person in a hearing world. At the time, I thought I understood what he was saying, but I don’t think anyone fully comprehends the meaning of “permanent loss” when they first receive it.  Especially not a 19-year-old, who’s trying to stay positive. For me, the loss wasn’t only about losing the ability to hear sounds and speech; it’s the lifestyle changes and adjustments that must be made by me and everyone around me.  

For most people, deafness is simple: you either hear or you don’t. But living with hearing loss is far more complicated. Over the years, I’ve learned that many common assumptions about deafness miss the reality entirely. 

MISCONCEPTION #1: DEAFNESS MEANS SILENCE

Reality: It’s about comprehension, not volume.

Many people assume that deafness means living in silence. I have tinnitus (ringing in the ears), and there is never silence, always ringing. But the challenge isn’t just hearing sound, it’s interpreting speech.

It’s the awkwardness of asking people to repeat themselves multiple times or pretending you heard so the conversation can move forward. It’s missing the punchline to a joke and laughing anyway because you don’t want to seem standoffish (and asking someone to repeat it kills the moment). It’s people assuming you’re rude or ignorant because you unknowingly didn’t acknowledge them when they tried to speak with you. And it’s the constant effort of trying to follow conversations when people speak too fast, look away, or when several voices overlap.

This is the constant and exhausting mental load that most hearing people never see.

MISCONCEPTION #2: HEARING AIDS FIX EVERYTHING

Reality: They help, but they don’t restore normal hearing.

Hearing aids are incredible tools. They make many everyday sounds more accessible and can improve the clarity of speech in quiet settings. They allow people to participate in conversations they might otherwise miss and can be life-changing when used consistently.

But they’re not a perfect solution. Hearing aids amplify sound, but they don’t automatically make it understandable. Close proximity can cause feedback, and background noise (or even wind) can be overstimulating. And certain sounds, like high pitches on flutes or woodwinds, can disappear entirely. Music, even songs you know well, can sound completely different. These limitations make learning to play an instrument or fully enjoying complex music challenging.

That difference is part of the challenge. Hearing aids reshape sound. And it takes time to relearn how to identify sounds that no longer match auditory memory, which can be frustrating and, at times, overwhelming. It’s one of the reasons a lot of elderly people choose not to wear them consistently throughout the day. The newness of sound can feel more irritating than helpful.

Hearing aids are also expensive, require frequent adjustments, and can be uncomfortable. For many users, especially those with behind-the-ear (BTE) devices, they are not practical to wear while lying down or sleeping. Even with technology improving all the time, they remain a tool, not a cure.

MISCONCEPTION #3: LIP READING MAKES COMMUNICATION EASY

Reality: Lip reading is mentally exhausting and unreliable.

People often ask, “Do you read lips?” Lip-reading isn’t a reliable translation tool. It’s a puzzle you solve in real time, while the conversation keeps moving.

Lip reading depends on so many variables: the speaker’s facial visibility, their enunciation, lighting, accent, or even whether they are chewing or smiling. In group conversations or meetings, where multiple people speak quickly or simultaneously, it becomes even harder. The reality is, it’s easy to miss most of what’s being said. You end up catching a few words here and there, trying to piece together the topic just to follow along. And sometimes, that leads to awkward moments, such as when you try to contribute, only to realize someone already said the same thing. It’s truly awful.

Even in one-on-one conversations, lip-reading is mentally exhausting. Every sentence requires intense concentration, and the effort doesn’t stop when the conversation ends—you carry the fatigue throughout the day. Over time, this constant cognitive load can be socially draining, leaving many deaf or hard-of-hearing people feeling isolated or frustrated, even in otherwise familiar environments.

MISCONCEPTION #4: DEAFNESS ONLY AFFECTS CONVERSATIONS

Reality: It touches every part of daily life.

Hearing loss reshapes countless everyday moments. It’s the quiet fears: not hearing your child cry in another room, missing an emergency vehicle until it’s too close, or straining to hear someone calling from behind.

This happens a little too often for me. I live with my 94-year-old grandmother, and there have been times when she has fallen and called out for help without me hearing her. Most of the time, my wife catches it and either helps or gets my attention. But if my wife isn’t home, it’s hard not to wonder how long she might be on the ground before I realize something is wrong. That feeling, knowing you were right there but still not there for her, doesn’t go away.

It shows up with my son, too. He is an active toddler, so I’m already keeping a close eye on him. But the moment I lose sight of him, there is an added layer of anxiety. I call his name and hear nothing back. The silence is so scary, and it becomes a frantic search until I visually spot him.

Then there are the subtler, almost invisible losses. Podcasts, radio, lectures, and movies without closed captioning become inaccessible. Overhearing conversations, picking up on gossip, or just catching incidental information (all the background “social knowledge” that hearing people absorb effortlessly) is gone. These gaps can make it feel like the world is constantly moving around you, just out of reach, and create a persistent, low-level strain that others rarely see.

Living with hearing loss means constantly navigating both the obvious and hidden barriers in ways that touch work, home life, and social interactions alike.

MISCONCEPTION #5: DEAFNESS IS THE SAME FOR EVERYONE

Reality: Each experience is different.

Deafness is far from a one-size-fits-all condition. Some people are born deaf and grow up navigating the world with sign language or other communication strategies from day one. Others, like me, lose hearing later in life and must relearn how to communicate and interpret the world in entirely new ways.

The degree, timing, and type of hearing loss also vary widely. Some people can still detect certain pitches or sounds, while others lose them completely. Learning a new language becomes much harder because so much of language acquisition relies on listening. Even everyday sounds that hearing people take for granted, like accidentally leaving on a running faucet or a strange noise coming from your car, may vanish entirely. Oddly enough, I can still hear doors close. It’s muted, but one of the few noises I do hear.

Because of this diversity, there is no single “deaf experience.” Each person develops unique strategies, preferences, and adaptations. Understanding this helps break the assumption that one person’s experience with hearing loss represents everyone’s reality.

MISCONCEPTION #6: INCLUSION IS ONLY ABOUT TECHNOLOGY

Reality: Awareness and behavior matter just as much.

Inclusive workplaces don’t require magic solutions. Small adjustments make a big difference:

  • Face the person you’re speaking to so they can read visual cues.
  • Speak clearly and at a moderate pace, avoiding talking over others.
  • Limit background noise when possible.
  • Use captions, speech-to-text, or written follow-ups for meetings and presentations.
  • Normalize asking for repetition or clarification. Communication works best when people feel comfortable doing so.

These steps don’t just help people with hearing loss. They improve communication for everyone.

LESSONS BEYOND HEARING

Over time, hearing loss has changed the way I observe the world. I pay closer attention to body language, facial expressions, and context. Communication becomes less about words alone and more about understanding people. In many ways, it has made me a more attentive listener, just in a different way.

Helen Keller famously said, “Blindness separates people from things; deafness separates people from people.”  For me, it’s more than social loss. If there is anything hearing loss has taught me, it’s knowing that each of us perceives the world in different ways. Our experiences, strengths, and weaknesses interpret and shape how we understand things. We’re really all just doing the best with what we have.

About

Manabu Leventhal

Manabu is a Healthcare Studio associate and job captain with multidisciplinary experience in architecture. He approaches each project and task with positivity and enthusiasm, and likes thinking about how to make things more efficient and user-friendly. When not in the office, he spends time chasing his social and active toddler around, eating his wife’s homemade meals, and building things for the house (which he no longer has time to do because he is busy chasing his toddler around).

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