Good morning :<div dir="auto">Was wondering if any of you have encountered cases of hearing difficulties following prolonged use of PAPRs.</div><div dir="auto">  One of our Telemetry nurses who is taking care of predominantly COVID patients, was only cleared for PAPR use based on failing mask fit tests.</div><div dir="auto">  She is now complaining of hearing difficulty due to the constant air flow when she is wearing her PAPR . Screening audiometry is normal and her exam is benign . </div><div dir="auto">  Found some studies documenting hearing impairments and communication difficulties associated with PAPR use and we want to be proactive in preventing further impairment.</div><div dir="auto">  She will see ENT / audiology for a more complete exam and we will be fit testing her again trying different masks but was wondering if anyone dealt with a similar situation and if you have any suggestions.</div><div dir="auto">Thanks much,</div><div dir="auto">Enass </div>-- <br><div dir="ltr" class="gmail_signature" data-smartmail="gmail_signature">Enass Awad A/Rahman,MD,MPH<br>Department of Occupational Medicine<br>Mercy Medical Group<br>3000 Q Street<br>Sacramento,CA,95816<br>Tel: 916-733-3390<br><br><br>&quot;We can enrich the world if we choose to embrace our similarities; we can destroy the world if we choose to emphasize our differences.&quot;<br></div>