Abstract

<i>To the Editor</i>: The following excerpt from our recent paper in the<i>A. M. A. Archives of Industrial Health</i>entitled, "The Medical Principles of Monitoring Audiometry" (Davis, H.; Hoople, G., and Parrack, H. O.:<i>A. M. A. Arch. Indust. Health</i>17:1-20, 1958), speaks for itself. <i>"Hearing Level, Hearing Loss, and Threshold Shift</i>.—The familiar term 'hearing loss' includes three quite distinct concepts, and much confusion and many unnecessary arguments have occurred in court rooms, in committee rooms and in clinics because of this semantic monstrosity. These three concepts are (1) the otological meaning—<i>symptom</i>indicating an<i>abnormal condition</i>of hearing, (2) the audiological meaning: the<i>status of hearing</i>as measured by a reading in decibels on the hearing-loss dial of an audiometer, and (3) the common sense meaning—<i>a change for the worse</i>in the sensitivity of hearing. It has been particularly difficult in medicolegal situations to reconcile the second

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