It's Always the Ear, Never the Gear

By Kim Wunner, July 8, 2025
IC’s Speech and Hearing Clinic is music to Tompkins County’s ears.

While hearing is a vital component of our whole health, it is something we do not often stop and think about until there is a problem. Our ability to hear is one of the five senses that allow us to interact with the world in a dimensional, sensory way. In hearing, the ear and the brain interact, and through that interaction we have an ability to experience connection with others and the world in a deeply meaningful way. Sound waves travel as vibrations though tiny membranes and bones connected with the brain. Those vibrations are determined by pitch and decibel level.

Amy Rominger, clinical associate professor of audiology in the Department of Speech-Language Pathology and Audiology, at Ithaca College’s School of Health Sciences and Human Performance’s (HSHP) Speech-Language Pathology Program, is passionate about those vibrations and their impacts on the human experience.

Rominger is the audiologist at the Sir Alexander Ewing-Ithaca College Speech and Hearing Clinic, providing the campus community and residents of Tompkins Couty with hearing evaluations, free of charge. She and her team can also get their patients ear protection at a discounted rate. The clinic is also a training ground where Rominger supervises the work of seniors and graduate students who are gaining hands-on experience serving as silent heroes in the health and wellness space.

Rominger says, “One of things I really do love about IC is how entrenched we are in the community and what we do in all these really unique ways. There are various ways we can be very specific and support the community with things like audiology screenings. It is so important when kids are young and we have the resources. It is also so important to educate our students, get them experiences to prepare this next generation of people. But it also has to be beneficial to the community that we're engaging in.” She further explains, “Each person in our community has their own circumstances, and we need to also be making sure that we're being good stewards of these places ... we're going and being respectful of their situations and the work that they're doing. That is community-centered care, per person-centered care. It Is really is how you care for the community.”

It is that form of community-centered care that attracted Molly Hankinson ’23, MS 26 to study under Rominger. Hankinson is in her second year as a graduate student in the Speech-Language Pathology Program. Working side-by-side with Rominger, the thing that drew her to the work was what it stood for, which she identifies as “the idea that everyone deserves a voice, no matter what that voice looks like, because communication is huge whether it be verbal or nonverbal, even just down to the way I stare at you, or the way my voice fluctuates and in a conversation. Everyone has the ability to express themselves in the way they want to. I really liked that idea of helping people being able to express themselves, share their 'why,’ and share their voice and whatever setting they’re in.”

Hearing the Community

A patient receives a hearing test from a student.

A Speech-Language Pathology student performs a test. (Photo by Allison Usavage '11) 

Even though the Hearing Clinic is physically located on campus, it extends into the community via community partnerships. One of those partnerships, with the Tompkins Community Action’s HeadStart program, has lasted over 15 years and provides free annual screenings for every enrolled child: a vital service as children begin their early education.

Children enrolled in the HeadStart program are screened twice annually. This screening goes beyond the hearing test at an annual exam at the pediatrician’s office, which might not catch a hearing loss or issue in those early years of life. The first screening takes place at what Rachel Shorts, enrollment manager of Tompkins Community Action’s HeadStart, calls their “Screening Extravaganza” event each year in August, where students are re-screened for hearing and receive developmental screening, socially emotional screening, vision screening, and nutritional screening. This year, the clinic screened 121 enrolled children.

Michelle Blodgett, family services director for Tompkins Community Action, explains that without insurance, families cannot access hearing screenings because they are only offered by specialists, and even if families can get in, the appointments are booked months out. She further explains, “imagine a child can't hear and someone's asking them to do something. It may appear to be that they're ignoring or they're not listening when the truth is they actually can't hear you. The impact is cognitive, emotional ,and social.” IC’s hearing clinic closes that gap—if there is a hearing difference diagnosis, IC’s clinic faculty, along with HeadStart staff, can and address it with the family immediately.

Rominger and the clinic added a partnership this year with the Ithaca City School District, providing NY State-mandated screenings at South Hill, BJM, and Northeast Elementary Schools for students enrolled in Pre-K through 5th grade. This resulted in 334 completed screenings in the last year alone.

"Everyone has the ability to express themselves in the way they want to. I really liked that idea of helping people being able to express themselves, share their 'why,’ and share their voice and whatever setting they’re in.”

Molly Hankinson ’23, MS 26 in the Speech-Language Pathology and Audiology program

The Sounds of IC

Students perform hearing tests.

A hearing test in action. (Photo by Allison Usavage '11)

On campus, the clinic sees about 250 people per year. A large source of its clients are students and faculty from the School of Music, Theatre, and Dance (MTD). Performers, musicians, sound engineers, and crew all rely on their hearing to do their jobs. MTD faculty take ear health seriously, stressing for their students how imperative it is to keep their hearing at full capacity and how to treat their ears. Mike Caporizzo, associate professor and director of the Sound Recording Technology program, starts talking about hearing health early on in his classes. He explains, “in my first semester of the freshman class there is a warning about long-term exposure. I tell them, ‘here's some things they can do about it: we have an excellent clinic right here on campus. They will do those custom molds. They will give you your hearing exam. Please get involved and make your appointment as soon as possible.’” Custom molds are ear protection that look like ear plugs you purchase in a store, but have been made specifically to the shape of your ear, your hearing ability, and the intended use of the protection (for example, being in the audience at a concert vs being a sound engineer listening to recorded music directly in their ears for multiple hours a day).

Brian Dozoretz ’94, recording services manager in the Department of Music and sound engineer for IC, is passionate about the power of sound in the arts. He points out many ways an engineer or artist can interact with loud sounds: many venues and spaces are not made for the sounds played in them, the spaces can react with negative vibrations, or, depending where an ensemble player sits in the band, they could be getting blasted by brass sections or have their ears next to a percussion sections for hours on end. Doing this repeatedly for days, months, or a life-long career leads to hearing deterioration.

He explains that hearing is part of being a professional because your ears are your greatest assets. Taking care of your ears is everything.

The clinic also serves the Office of Environmental Health and Safety on campus. Environmental workers, including grounds, transportation, and public safety, are exposed to hazardous noises on the daily: traffic, motors, and machinery that affect their abilities to do the job at one hundred percent, as well as their safety.

The ear and auditory systems are fascinating, intricate, and delicate, but also resilient. Think about all the sounds you have experienced in a lifetime and at what levels of loudness those sounds have been—from the hushed tones of a soft wind to the laugh of a baby, the lessons taught to us by a teacher, to the thunderous decibels at a concert or a fireworks display, to someone shouting “get out the way” when there is a car barreling down the street. Now, think about what it would be like if you couldn’t hear those things accurately.

Dozoretz tells a story of bringing his mother-in-law to the clinic—even though she wore a hearing aids, her hearing wasn’t great, and she was missing conversations and developed a habit of nodding her head in acknowledgement even though she couldn’t hear everything. Once she was screened, IC students were able to identify that her hearing aid wasn’t tuned properly to her specific hearing capability. Once the change was made, her quality of life changed immediately. She made a new group of friends because she could hear, interact, and connect. She participated and engaged in conversations. The isolation of her world was removed. 

As Rominger aptly puts the importance of the hearing clinic and audiology work, “Our job as audiologists and speech language pathologists is to find out from the person experiencing hearing differences if it's impacting their daily life and if it is, how can we help to guide them in ways to improve their communication or lessen the impact of those hearing differences? I always think of it as, ‘how do we help you to live well with hearing loss?’” 
 

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Make an appointment with the Sir Alexander Ewing-Ithaca College Speech and Hearing Clinic. The screenings are free!