Ear, Nose, Throat and Audiology
Common Symptoms and Conditions
Insurance and BillingAt CHI Health Alegent Creighton Clinic, we accept most insurance plans. Please bring your insurance card and insurance company filing address to your appointment. Patients are encouraged to review any costs not covered by insurance. If you are in need of a payment plan when purchasing hearing aids, CHI Health Alegent Creighton Clinic has partnered with Care Credit to provide options. Please speak with the office staff for more information.
For New PatientsAdditional time is needed to complete patient registration forms. To save you time, you may obtain these forms below. Complete the forms prior to your first appointment and simply hand it to the receptionist when you arrive at the clinic.
Every voice and swallowing disorder is different – so a customized treatment plan could include any of the following:
- Videostroboscopy for voice evaluation
- Flexible Endoscopic Evaluation of Swallowing (FEES)
- Medical treatments, including Botox
- Surgical treatments, including microsurgery, thyroplasty and endoscopic treatment for laryngeal cancer
- Endoscopic treatment of Zenker's Diverticulum
- Speech therapy for voice and swallowing disorders
- Voice therapy for singers, teachers and voice professionals
- Vocal cord dysfunction therapy
- Pre/post-operative teaching
- Voice amplification training
- Voice and swallowing rehabilitation after cancer treatment
- LSVT/LOUD for Parkinson's Disease
Take Care of Your Voice
Breath Support: The diaphragm is the primary muscle of respiration. Most adults are shallow, chest breathers. Diaphragmatic breathing requires practice as you learn to let your abs go out on inhalation and contracting your abs on exhalation to fill your lungs with air.
Posture: Good body alignment allows maximum movement of the diaphragm to adequately fill the lungs for speech, singing and exercise.
Hydration: Dry vocal folds are more prone to injury. Drinking 64+ ounces of water each day is recommended for high vocal users.
Medication: Prescription medications and over-thecounter medications can dehydrate, so you must rehydrate with water. Medicated throat lozenges can be drying. Try sour, hard candies to increase saliva.
Acid Reflux: Taking GERD medication correctly, low acid diets and lifestyle modifications can prevent acid reflux from reaching the level of the vocal cords and causing irritation and/or injury.
Eliminate Throat Clearing/Coughing: Throat clearing/ coughing is considered vocal abuse.
Vocal Overdoers: People who overuse their voice are more prone to voice problems. Correct vocal technique and behavior modification will decrease risk of developing a voice disorder.
Anxiety and Stress Can Alter the Voice: Upper extremity relaxation exercises, breathing exercises and gentle vocal technique can decrease tension in the laryngeal area.
Quit Smoking: Smoking is an irritant to the larynx and lungs. Help and support is available to you. 10. Hoarseness: If hoarseness persists more than two weeks see your doctor or ENT. Follow the doctor's orders and the speech therapist's recommendations.
Use a Voice Amplifier with correct vocal technique in the classroom.
Post classroom rules, consequences and the reasons why.
» Rule # 1: "Your teacher does not talk over the noise of students."
Water is your best friend. Hydrate all day.
Build voice rest breaks into your daily schedule. Alternate teaching and independent study tasks.
Delegate talking/teaching tasks. Use study buddies, choir section leaders, record vocal exercises, students demo vocal exercises.
Throat clearing/cough is vocal abuse.
Laryngitis: Delegate your voice. Talk only to cover the business of the day, and use a "gentle" voice.
LPR: Laryngopharyngeal Reflux is stomach acid that has reached the level of your vocal cords. Protect your voice by taking your reflux medication correctly.
Phlegm: If your ENT/MD recommends plain Mucinex (not DM) to thin the phlegm in your throat, it will not work unless you drink the required amount of water.
Schedule a visit with your MD or ENT if your voice is hoarse for more than two weeks. Call 402-758-5600.
Hearing Loss AssessmentIf you experience any of the following symptoms, you may have a hearing loss and should consider being evaluated by an audiologist:
- Do you experience ringing, roaring, or buzzing in one or both ears?
- Is your television volume louder than others would like?
- Do you often have to ask people to repeat what they have said?
- Does your speech sound muffled or dull?
- Do you have problems listening in noisy environments or in groups?
- Do you have difficulty hearing the doorbell or telephone?
- Do your friends or relatives tell you that you do not seem to hear well?
- Do you frequently complain that others mumble, that speech is not clear, or that you hear only parts of conversations when people are talking?
- Do you find that looking at people when they talk to you makes it easier for you to understand them?
Audiology ServicesEvaluations for all ages
- Comprehensive diagnostic hearing evaluations for adults.
- Pediatric hearing evaluations ranging from Visual Reinforcement Audiometry, Conditioned Play Audiometry, or Computerized Play Audiometry.
- ABR (Auditory Brainstem Response)
This test measures the response as stimulus is presented to the ear and as it travels to the brainstem. This test gives doctors information about the integrity of the auditory system threshold and neurodiagnostics.
- ENG (Electronystagmography)
Electronystagmography is a test that records the interaction between your balance system in the inner ear and your eye. This helps determine whether the vestibular system is the cause of dizziness.
This test is used to determine if the type of dizziness present is Benign Paroxysnal Positional Vertigo (BPPV).
- OAE (Otoacoustic Emission)
Otoacoustic Emission measures an acoustic response from the inner ear (cochlea) that is generated in response to a series of sounds that is presented through a tiny headphone. This helps determine whether or not the outer hair cells in the cochlea are functioning properly.
Devices We OfferOur experienced Audiologists are specially trained to assist patients with concerns related to the inner ear; including hearing loss, balance and dizziness. Certified by the American Speech Language and Hearing Association (ASHA), our Audiology team provides the following services:
Hearing Aids: There is a wide variety of different styles, and not one is appropriate for all people. We offer hearing aids that are in the ear, in the canal, behind the ear, or open fit. Together with your audiologist, you will be able to choose the hearing aid that is most appropriate for you based on your needs.
Ear Molds: Custom molds are made for a number of different purposes:
- Sports: swim molds, motor sports, hunting/shooting
- Music: ear monitors, noise protection
- Personal Devices: MP3 players, cell phones
- Work: noise protection
Bergan ONE Professional Center
7710 Mercy Drive
Omaha, NE 68124
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Monday - Friday 8 a.m. - 5 p.m.
Lakeside TWO Professional Center
17030 Lakeside Hills Plaza
Omaha, NE 68130
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Monday - Friday 8 a.m. - 5 p.m.