A piano tuner begins to experience hearing loss, especially in higher frequencies. He has his hearing tested and is told he has significant loss. He invests in an electronic tuning device to ensure he can still tune properly. Over time, his hearing deteriorates further. He tries a hearing aid but it does not help clarify sounds. His work tuning is still acceptable though he struggles in noisy environments.
A piano tuner begins to experience hearing loss, especially in higher frequencies. He has his hearing tested and is told he has significant loss. He invests in an electronic tuning device to ensure he can still tune properly. Over time, his hearing deteriorates further. He tries a hearing aid but it does not help clarify sounds. His work tuning is still acceptable though he struggles in noisy environments.
A piano tuner begins to experience hearing loss, especially in higher frequencies. He has his hearing tested and is told he has significant loss. He invests in an electronic tuning device to ensure he can still tune properly. Over time, his hearing deteriorates further. He tries a hearing aid but it does not help clarify sounds. His work tuning is still acceptable though he struggles in noisy environments.
It is a part af the human condition that one's own experiences are absolutely riveting, while that of others can be intens,ely boring! So taking up the amount of space this piece will do is something of a risk. But hearing is by far the most essential sense a piano tuner possesses - while it is possible to tune having lost any of the other senses, tuning is impossible, even with an electronic aid, without the ability to hear.-Therefore I hope my experience, and the discussion I will make around some of the aspects of it, will be in- teresting, and perhaps even helpful, to you. Part one A few years ago I had the shock of my life when, following a concert tuning, the organisers complained that the ensemble had said the piano was not properly tuned. It had seemed harder work than usual, because I had to do the tuning on the way back home from a fortnight's holiday and I always found I needed a couple of days or so to get back into the swing. But even so, I had made all the checks and everything seemed to be OK to me. In somewhat of a daze - is my tuning ca- reer over? - I made an appointment to have my hearing checked by a company adverti- sing free tests in your own home. But I deci- ded that since he was selling a very costly product, I would not make a decision during that visit. After testing me he said I had 1000/o loss of hearing in the higher frequencies and recommended hearing aids costing into four figures each. I said I would think about it! I then paid a visit to the audiologist at my doctor's practice. After her test, which pro- duced similar figures to the previous one, she said that to call it ' 1000/o hearing loss' was very questionable. There was a degree of hearing loss in the higher frequencies, but not enough to warrant the use of a hearing aid. My hearing was still better than the majority of the popuiation, I was told. The second thing I did was to ask a local concert tuner, whose work I respect (although sadly not a PTA Member), to check the piano over. He did so a week after the concert and said that the tuning was no worse than one would expect, bearing in mind it had been used for a concert in a fairly damp church, then transported iO miles away to the place where it is normally stored in good, dry conditions. So everything appeared to be all right. but still there was a niggle at the back of my mind. I had never had a complaint about a concert tuning before (or since). Wast-his the first sign of a problem that sooner or later would develop and prevent me from tuning? I had to make absolutely sure that I could continue to tune with no doubts I would be doing a good job. So that is. one reason why I took the plunge and invested in a Sander- son Accutu ner (SAT). By the way, th is is not intended to be an advert for the SAT, although I have been very pleased with its perfor- mance. There are other alternatives. But for me, at that time, the SAT was the best one. When I first saw the SAT quite a few years earlier, I decided that sooner or later I would buy one, for the very reason I have just been setting out. It is a fact of life that the upper range of our hearing deteriorates as we get older. I have seen several examples where an older tuner has made a first-class job of a piano throughout the entire range apart from the highest octave. In three cases, I found in the top octave two adjacent notes playing at the same pitch and the rest of the notes to the top of the piano were .a semi-tone flat. In other cases the top octave goes horrendously sharp. By definition it is impossible for a tuner to know if his hearing has deteriorated in this way, because the sense he uses to check is the one that has become faulty. So my thought was to buy such a machine while my hearing was st ill good so I could become accustomed to using it while there was no problem. Then ifa problem did develop later on in life, I could .be sure my work would still be at an accep- table standard. There are two things to say about the SAT. Firstly, I have found it most helpful. It produces an excellent tuning, is invaluable in noisy conditions, and regardless of hearing problems I would not want to be without it. The second thing is that when using it on pianos I had been regularly tuning by ear, I found that apart from variation due to humidity change, the tuning I had put in to these instruments closely agreed with the SAT. While the greatest variation did occur in the top octave, I have since found out, having followed a number of good concert tuners on different pianos, that the discrepancy between my tuning and the SAT was no greater than anything I found in any of their tunings! Then, of course, there was the fact that I examine tunings for PTA Membership examinations and for VIEW (the examining board for Hereford students, which awards the AEWVH diploma the Associa_Jion of Blind Piano Tuners use as their entrance standard). I took th is very seriously. Clearly, if there were any doubt about my hearing, I would have to resign as an examiner. But my judgement has always agreed very closely with my fellow examiners, and since I am privileged to examine for two different organisations, I have probably examined with more different examiners over the past few years than anyone else currently examining in the UK! There are always two examiners present at every test. As another aside, prospective candidates for these tests should take confidence in the fact that examiners do agree so closely when awarding marks. I cannot remember a t i me when we were more than +/-1 (or on very rare occasions, 2) cents apart on any aspect of the test; and there has never been a t i me when there has been a dispute between examiners whether it was a ' pass' or a 'fail'. I can only speak from my personal experience, of course, but it could only have been this way if, indeed, all the examiners did operate to a very similar standard. So, to return to the main point, my confi- dence began to be restored that, in spite of the complaint, I was still capable of doing a good job. But then I came to a concert tuning about a couple of years after the complai nt. which put everything into perspective. It was for an organiser for whom I have done a lot of concert work over quite a number of years. There were three concerts that week, on Tuesday, Friday and Saturday. The artistes were the same for the last two, but it was a different pianist on the Tuesday. When I arrived on the Saturday, the pia- nist for the ensemble who had used the piano the previous day said to me that the piano was flat. I said that it usually stayed in tune very well, and had been exactly at A-440 when I had tuned it on Tuesday. "Oh !" he replied, "We want A-442"! So he was wrong of course; the piano was not flat - it was simply not as sharp as he wanted it! I mentioned this to the organiser when presenting her with the bill. "Well", she sai d, "they were the people who had complained about the tuning before!" So my two years agony about my t uning had been all because this clown had wanted the piano tuned above the standard pitch, . expected me t o know without telling me and then complained that the piano was not tuned properly when he didn't get what he wanted! piano 39 0 I suppose I should have gone back and thrown the piano stool at him or something. But, to be honest, I was so reUeved for the final confirmation that there had been no problem all along, I just floated back to my car and drove off to the next concert tuning I had to do that day. Part two T ime went by, and I began to be aware that increasingly I had to ask people to repeat what they were saying to me. At home it was always I who wanted the TV turning up louder, and being in a crowded room became a nightmare - conversation was all but im- possible as I could not hear what was being said to me for the general babble of noise. Piano tuning and examining was still ok however (thankfully), and of course I now had the SAT to keep track of what I was doing. So in order to pacify the family I went back to the doctor and arranged to see the practice audiologist again. After testing my hearing she said that it was unlikely that any hearing aid would solve my problem as it was only the high frequencies that were affected and hearing aids were unable to deal with that situation adequately for my needs. However, she did give me the best analogue hearing aid she had available to try out. It made everything louder, but no clearer; so since it was not helping, after a few weeks I gave up and handed it back. More ti me went by u nti I the event that moved me once again to see what the options were, when I went to tune for a retired conductor (of orchestras, not buses!). On previous visits he used to say to me, "I can't hear anything from the top few notes of the piano - it just sounds like the hammers banging on the frame to me." Then he got digital hearing aids and on this visit he came in while I was finishing the top of the piano and said with obvious delight, "You know, I can hear all those notes perfectly now - right up to the top one!" (A good job I'd con- tinued to tune them then!) I had been told by my doctor that a digi- tal hearing aid was not an option on the Na- tional Health (although I understand that has now changed), so on seei ng a likely- sounding advert in a local paper, went to see Mr Glen Smith at Digitone, a hearing aid company in Verwood, Dorset (I am most grateful to him for providing me with the resources for the technical information whi ch follows). He had a very impressive set- up and I entered his soundproof booth for a hearing test. The re- sult was similar to that found by the previous audiologist - a pattern, Glen told me, cal led 'ski - slope', and t ypical of sound damage. 0 10 20 JO ...J 40 I so ca (Kl. " 70 80 ' 100 110 120 Hz o o ~ o ~ o.s I ~ .... I I, 5 I I\ I ' 1 ~ ~ ..... In the diagram (not my result, by the way) the line begins at the left with the lower frequencies and finishes on the right with the higher ones. The lower the line goes, the greater the volume needs to be for the sound to be audible. In my case the lower frequen- cies were better than average, but then the hearing dropped off rapidly the higher the frequencies become. You will remember that 4kHz, the lowest point of the line in this graph, is around the pitch of the highest note in a piano. It is the kind of pattern found, for example, in people whose pastime is shooting. But since I do no shooting, and do not vi sit discos or any place where there is excessively loud sounds, how did the damage occur? There can be only one answer - piano tuning! To see why, perhaps it would be good to look at how the ear works. The visible part of the outer ear (the auncle or pinna) is, of course, a funnel to catch sound and direct it into the ear canal, which is curved and irregul arly shaped. The canal is about 2.Scm long and 8mm in dia- meter. Its walls contain glands, which create wax (cerumen}, the function of which is to keep the area moist and clean. If a foreign body invades, more wax is created, and even- tually can build up to the point where the hearing is significantl y diminished. That is the time to go to a specialist to have it dealt with. At the end of the ear canal is the ear drum (membrana tympani), on the other side of whi ch is the middle ear cavity where three small bones (the ossicles) are joined together. They are called the hammer (malleus}, anvil (incus) and stirrup (stapes). The sound vibra- tions, picked up by the eardrum, are trans- ferred through the bone assembly to the cochlea, which is shaped like a snail shell with two and a .half turns. Two small muscles (the stapedius and the tensor tympani) are atta- ched to the bones and are activated by reflex to loud sounds. This.impedes the transmission of vibration through the bones and protects the inner ear from loud sounds. Inside the cochlea are.hair cells, which are the central part of the hearing organ, called 'the organ of Corti' (named after the Italian anatomist A. Corti). They are seated in the basilar membrane, which is approximately 30mm long. There is one row of outer hair cells, which have muscle tissue, and three rows of inner ones, which do not. Fluids in the inner ear are set in motion by the footplate of the stirrup attached to a 'window' in the cochlea. The basilar membrane moves with motion of the fluids and the hair cells transmit that movement to the brain via the nerves to which they are attached. The higher frequencies (e.g. lOkHz) are picked up by hair cells closest to the window on the cochlea where the footplate of the stirrup is attached; the middle frequencies (e.g. 1 kHz) will be around the middle turn; and the low frequencies (e.g. 100Hz) will be near the top of the cochlea. . . .. . . . . .. . . . . . . . . When there are very slight vibrations from a weak sound, the outer hair cells stimulate the inner hair cells by means of their muscle tissue, which enables the basilar membrane to vibrate sufficiently. The outer hair cells have a significant effect at low levels, but practically none at high intensity sound. This function is easily damaged by noise such as gunshots or heavy industrial sounds. The Eustachian tube connects the middle ear cavity to the nose and throat, and its function is to maintai n a normal atmospheric pressure in the middle ear space. It is usual- ly closed, but opens briefly during swallowing or nose blowing (something to remember when in an aeroplane!). You may be interested to know that it was Alexander Graham Bell who invented the first audiometer to test hearing, demonstrating with it that children previously thought of as 'slow' or 'backward' were simply unable to hear! He gave his name to the relative sound differences in intensity - the 'decibel'. The most common form of hearing loss is damage to the hair cells, which can be a result of disease, loud sound, or, most often, aging (presbycusis). Deterioration commonly begins around the age of 18 and can become significant when reaching the SO's or 60's, although this varies considerably; some suffering little loss even into their ?O's or 80's and others much earlier. The problem is usually more pronounced in men (sound damage from their wives' voices? I jest!). To the left is a diagram showing the normal frequencies (across the top) of vowels and consonants, and their normal decibel level (down the side). When compared to the previous ski-slope loss chart, the effect of loss of hearing on the understanding of speech becomes dear. Consonants such as 'k', 'f and 's' are at quite a high frequency r ~ g e and at the same time fairly quiet. But to return to my original question: how did the damage to my hearing occur? I was originally told that piano tuning could never be the reason. But then when one realises that the first fraction of a second of sound from a piano has been measured at over lOOdB, a level well over the point where damage is known to occur, then a pattern begins to emerge. I have studied my own tuning method and calculate that during the 45 minutes it takes me to undertake an average tuning, I play each note between 1to2 t imes per second, speeding up as I reach the higher notes. That can result in a repe- tition of 40-60 times on the same note. Water dripping on a stone will eventually wear a hole through it. It makes sense to me that while playing a single note on a piano Hz 2SO soo 1000 2000 4000 8000 0 10 20 lO 40 ~ J: so co "O 60 70 80 90 100 110 120 FACHBEITRAG will not cause any damage, this kind of constant repetition, over many years, could have the same effect as the water on the stone. But add to that the fact of my age (60 next birthday*), a time when aging is also likely to make me more vulnerable, and my present situation is not so surprising. But why do concert pianists, who can practice for 8 or 10 hours a day, not have the same problem? I can think of three reasons. We tune with the casework parts out, maki ng the sound louder for us than for them. The tuni ng position forces the head closer to the source of sound than when playing. In tuning, the same note is constantly repeated; in playing, the pitch of the notes is constantly changing. Well, that is enough about me for the moment; what about you? I would suggest that if you are younger than 'middle-age' (whatever that is), and/or not tuni ng full- time (i.e. you spend time recondit ioni ng, et c.), then perhaps, for the moment, you may be safe. But what if you are one of those whose hearing will deteriorate earlier than 'average'? What if you undertake a signi- ficant number of concert tunings, when you are likely to be working on an instrument with a powerful sound, striking t he keys harderthan normal to ensure stabil ity? If you undertake piano tuning on a regular basis, whoever you are, my advice is to take note of my experience and investigate the purchase of quality, hearing protection. Les Sherlock Part Three: Issue 3/2007 This article was written in 2004 piarn - piano FACHBEITRAGE __________________ _ In conclusion to this long epistle, which I hope has not bored you too much, I make the following observation. I have followed quite a number of good concert tuners since having the SAT. In pretty well every case I have found that while their tuning follows the SAT's tuning closely throughout the bass and middle sections, in the top octave there is invariably some variation in some of the notes. Typically they start going sharp, then perhaps one or two notes at the very top will come back into line, or even be flat. One thing the SAT is very good at is consistency. So is this deviation deliberate on their part to make the top end 'brighter' (in which case why should some top notes not follow the rest in their 'sharpness'?), or is it the first sign of hearing loss in experienced tuners who, like me, have spent years tuning pianos with unprotected ears? If you are a young funer, then think carefully about your .most valuable asset, your hearing. How are you going to protect it? If you are an older tuner (and I leave you to define 'young' and 'older'), particularly if you. find you need to have people repeat . things to you, need the radio or TV turned up higher than other people, and/or have diffi- culty with conversation in a crowd, then it may be worth finding a reputable audiologist to have your hearing checked out. But who- ever you are, do consider quality hearing pro- tection. Better to spend some money now on hearing protection, than having to spend a great deal more some years down the line, with the inconvenience of a plug in each ear thereafter I Les Sherlock - An air lock' which prevents the ear drum from vibrating - Since this was first written technology has moved on and the latest hearing aids are signi- ficantly superior.