Pete Townshend, the iconic guitarist of The Who, indeed has severe hearing damage, a condition he openly discusses. At PETS.EDU.VN, we understand the importance of addressing health concerns, especially those affecting beloved figures in music and pet care. In this article, we’ll delve into the specifics of Townshend’s hearing loss, its causes, and what it means for his career, while also exploring related hearing issues and solutions for your cherished pets, highlighting how early detection and care can significantly improve their quality of life, ensuring access to expert advice on hearing health, audiologist resources, and noise-induced hearing loss prevention strategies.
1. What is the Extent of Pete Townshend’s Hearing Loss?
Yes, Pete Townshend has confirmed that he suffers from significant hearing loss. This hearing damage manifests as tinnitus, a persistent ringing in the ears. According to a statement Townshend made, the tinnitus is particularly pronounced at the frequencies he plays guitar, causing him pain and frustration.
Townshend elaborates that his right ear, which is more exposed to the sound of his guitar and the drums, has been severely affected. Fortunately, his left ear is less damaged, which has allowed him to continue playing, especially in solo performances where he can avoid using drums and play more quietly. However, with The Who, playing their classic songs without drums is impossible, creating ongoing challenges for him. He is also unable to use in-ear monitors because they exacerbate his tinnitus after shows.
2. What are the Primary Causes of Pete Townshend’s Hearing Loss?
The primary cause of Pete Townshend’s hearing loss is prolonged exposure to loud music, a common issue among rock musicians. Playing in one of the world’s loudest bands, The Who, has taken a significant toll on his auditory health. The combination of his own guitar and the powerful drums contributed to this damage.
Several factors contribute to noise-induced hearing loss in musicians:
- High Sound Levels: Rock concerts and rehearsals often reach sound levels well above the safe threshold of 85 decibels (dB).
- Proximity to Loud Instruments: Guitarists and drummers are particularly at risk due to their close proximity to amplifiers and drum kits.
- Lack of Hearing Protection: In the early days of rock music, hearing protection was not commonly used, leading to cumulative damage over the years.
- Length of Exposure: Years of playing in loud environments without adequate protection can lead to permanent hearing loss.
According to the National Institute on Deafness and Other Communication Disorders (NIDCD), repeated exposure to sounds above 85 dB can cause hearing loss. The louder the sound, the shorter the amount of time it takes for hearing damage to occur.
3. How Does Tinnitus Affect Pete Townshend’s Ability to Perform?
Tinnitus significantly impacts Pete Townshend’s ability to perform by causing constant ringing in his ears, especially at the frequencies he plays guitar. This condition makes it difficult to hear clearly and can be painful and frustrating.
The impact of tinnitus on Townshend includes:
- Discomfort and Pain: The ringing can be intense and distracting, making it hard to focus on his playing.
- Exacerbation by In-Ear Monitors: Townshend notes that in-ear monitors worsen his tinnitus, making them an unusable solution for live performances.
- Limitations on Performance: The need to avoid drums in solo performances indicates the extent to which his hearing loss affects his musical choices.
- Psychological Impact: Dealing with constant tinnitus can lead to stress, anxiety, and depression, further complicating his ability to perform.
The American Tinnitus Association (ATA) estimates that nearly 15% of the public – over 50 million Americans – experience some form of tinnitus. For many, tinnitus is a minor annoyance, but for others, it can be debilitating.
4. What Steps Has Pete Townshend Taken to Manage His Hearing Loss?
Pete Townshend has taken several steps to manage his hearing loss, including adjusting his performance conditions and speaking out about the importance of hearing protection.
His management strategies include:
- Solo Performances Without Drums: By avoiding drums in his solo work, Townshend can play more quietly and reduce the strain on his ears.
- Awareness Advocacy: Townshend has been vocal about the dangers of loud music and the importance of hearing protection, raising awareness among musicians and fans alike.
- Consulting Specialists: While specific details of his medical treatments are not public, it is likely that Townshend consults with audiologists and other hearing health specialists.
- Adjusting Equipment and Sound Levels: Townshend may use specialized equipment and adjust sound levels during rehearsals and performances to minimize further damage.
5. What Hearing Protection Measures Are Available for Musicians and Concert-Goers?
Musicians and concert-goers have access to a variety of hearing protection measures to prevent noise-induced hearing loss. These measures range from simple earplugs to custom-fitted devices.
Available hearing protection includes:
- Musician’s Earplugs: These earplugs reduce sound levels evenly across all frequencies, preserving the clarity of the music while protecting hearing.
- Custom-Fitted Earplugs: Made from molds of the individual’s ears, these earplugs provide a comfortable and precise fit, offering excellent protection.
- Over-Ear Headphones: Noise-canceling headphones can be used in quieter environments to block out ambient noise and reduce the need to increase volume levels.
- Limiting Exposure Time: Taking breaks from loud environments can help reduce the cumulative impact of noise on hearing.
According to the Centers for Disease Control and Prevention (CDC), using hearing protection can significantly reduce the risk of noise-induced hearing loss. They recommend that anyone exposed to sounds above 85 dB should wear hearing protection.
6. Are There Any Medical Treatments or Technologies That Can Reverse Hearing Loss?
Currently, there are limited medical treatments that can fully reverse hearing loss. However, several technologies and therapies can help manage the symptoms and improve the quality of life for those with hearing loss.
Available treatments and technologies include:
- Hearing Aids: These devices amplify sound to make it easier to hear conversations and other sounds.
- Cochlear Implants: For severe hearing loss, cochlear implants can provide a sense of hearing by directly stimulating the auditory nerve.
- Tinnitus Retraining Therapy (TRT): This therapy uses sound masking and counseling to help individuals cope with tinnitus.
- Medications: Some medications can help manage the symptoms of tinnitus, although they do not cure the underlying condition.
- Assistive Listening Devices (ALDs): These devices can help in specific situations, such as amplifying sound in a classroom or providing captions on a television.
Research into regenerative therapies, such as stem cell treatments, is ongoing, but these treatments are not yet widely available. The Hearing Health Foundation is dedicated to preventing and curing hearing loss and tinnitus through groundbreaking research.
7. How Common is Hearing Loss Among Musicians Compared to the General Population?
Hearing loss is significantly more common among musicians compared to the general population due to their frequent exposure to high sound levels.
Key statistics include:
- Increased Prevalence: Studies show that musicians are four times more likely to develop noise-induced hearing loss than the general population.
- Early Onset: Musicians often experience hearing loss at a younger age compared to non-musicians.
- Tinnitus: The prevalence of tinnitus is also higher among musicians, with many experiencing constant ringing in their ears.
A study published in the journal Occupational and Environmental Medicine found that over 50% of musicians experience some form of hearing loss or tinnitus. This highlights the urgent need for hearing protection and awareness in the music industry.
8. What Other Famous Musicians Have Publicly Discussed Their Hearing Issues?
Several famous musicians have publicly discussed their hearing issues, raising awareness about the risks of noise-induced hearing loss in the music industry.
Notable musicians include:
- Eric Clapton: The legendary guitarist has announced that he is losing his hearing and struggles with tinnitus but promises to keep playing as long as he can.
- Ozzy Osbourne: The Black Sabbath frontman has suffered significant hearing loss due to his heavy metal lifestyle.
- Grimes: The indie pop rocker canceled her European tour in 2012 due to tinnitus.
These musicians’ experiences highlight the importance of hearing protection and regular hearing check-ups for anyone exposed to loud music.
9. What Resources Are Available for Musicians Seeking Help with Hearing Loss?
Musicians seeking help with hearing loss have access to a variety of resources, including audiologists, hearing clinics, and organizations dedicated to hearing health.
Available resources include:
- Audiologists: These healthcare professionals specialize in diagnosing and treating hearing disorders.
- Hearing Clinics: These clinics offer hearing tests, hearing aid fittings, and counseling services.
- Musicians Clinics: Some clinics specialize in treating musicians, offering tailored solutions for their unique needs.
- Hearing Health Organizations: Organizations like the American Tinnitus Association and the Hearing Health Foundation provide information, support, and resources for individuals with hearing loss.
- Online Forums and Support Groups: Online communities can provide a space for musicians to share their experiences and learn from others.
The Musician Treatment Foundation is one such organization that provides resources and support for musicians with hearing loss and other health issues.
10. How Can Concert Venues and Music Schools Promote Hearing Safety?
Concert venues and music schools can play a crucial role in promoting hearing safety by implementing policies and providing resources to protect musicians and concert-goers.
Effective strategies include:
- Providing Hearing Protection: Offering free or low-cost earplugs at concerts and rehearsals.
- Monitoring Sound Levels: Regularly monitoring and adjusting sound levels to stay within safe limits.
- Education and Training: Providing education and training on the risks of noise-induced hearing loss and the importance of hearing protection.
- Quiet Rooms: Creating quiet rooms or designated break areas where individuals can escape the noise.
- Promoting Awareness: Raising awareness through posters, announcements, and social media campaigns.
Many music schools and concert venues are now adopting these practices to protect the hearing health of their students and patrons. For example, the Berklee College of Music has implemented a comprehensive hearing health program for its students.
11. Can Pets Experience Hearing Loss?
Yes, pets can experience hearing loss, just like humans. Hearing loss in pets can be caused by a variety of factors, including age, genetics, infections, and exposure to loud noises. According to the American Animal Hospital Association (AAHA), approximately 20% of dogs will experience some form of hearing loss in their lifetime.
12. What are the Common Causes of Hearing Loss in Pets?
Several factors can contribute to hearing loss in pets:
- Age: Age-related hearing loss, also known as presbycusis, is common in older pets.
- Genetics: Certain breeds are predisposed to hereditary hearing loss.
- Infections: Ear infections can damage the inner ear and lead to hearing loss.
- Trauma: Head trauma can cause hearing loss.
- Exposure to Loud Noises: Prolonged exposure to loud noises can damage a pet’s hearing.
- Medications: Some medications can be ototoxic, meaning they can damage the ear.
- Tumors: Tumors in the ear canal or brain can affect hearing.
A study published in the Journal of Veterinary Internal Medicine found that certain breeds, such as Dalmatians, Australian Cattle Dogs, and English Setters, have a higher incidence of congenital hearing loss.
13. How Can I Tell if My Pet is Losing Their Hearing?
Recognizing the signs of hearing loss in pets is crucial for early intervention. Common signs include:
- Lack of Response to Commands: Ignoring verbal commands they once knew.
- Startling Easily: Being easily startled by sudden movements or touch.
- Increased Vocalization: Barking or meowing more than usual.
- Difficulty Waking Up: Sleeping more soundly and being harder to wake.
- Head Tilting: Tilting their head to one side, trying to hear better.
- Changes in Behavior: Becoming more withdrawn or anxious.
If you notice any of these signs, it’s essential to consult with your veterinarian.
14. What Diagnostic Tests Can Determine Hearing Loss in Pets?
Veterinarians use several diagnostic tests to determine hearing loss in pets:
- Brainstem Auditory Evoked Response (BAER) Test: This test measures the electrical activity in the brainstem in response to sound stimuli. It is the most accurate test for diagnosing hearing loss in pets.
- Otoscopic Examination: This involves using an otoscope to examine the ear canal for any abnormalities, such as infections, tumors, or foreign objects.
- Auditory Testing: This involves observing the pet’s response to various sounds, such as clapping or whistling.
The BAER test is often performed by veterinary specialists and is considered the gold standard for diagnosing hearing loss in pets.
15. Are There Any Treatments for Hearing Loss in Pets?
Unfortunately, there is no cure for most types of hearing loss in pets. However, several strategies can help manage the condition and improve the pet’s quality of life:
- Management of Underlying Conditions: Treating ear infections or other underlying health issues that may be contributing to hearing loss.
- Training with Visual Cues: Using hand signals and other visual cues to communicate with the pet.
- Vibrating Collars: Using vibrating collars to get the pet’s attention.
- Safe Environment: Creating a safe and predictable environment to minimize anxiety and stress.
For pets with surgically removable tumors causing hearing loss, surgery may be an option, but it’s not always feasible or successful.
16. How Can I Protect My Pet’s Hearing?
Protecting your pet’s hearing involves several preventive measures:
- Avoid Loud Noises: Minimize exposure to loud noises, such as fireworks, concerts, and construction.
- Regular Ear Cleaning: Regularly clean your pet’s ears to prevent infections.
- Prompt Veterinary Care: Seek prompt veterinary care for any ear infections or other health issues.
- Medication Awareness: Be aware of the potential ototoxic effects of certain medications.
- Safe Environment: Create a safe and quiet environment for your pet.
Using ear protection, such as cotton balls or specially designed earplugs for pets, can help reduce the impact of loud noises.
17. What Breeds of Dogs Are Most Prone to Hearing Loss?
Certain breeds of dogs are more prone to congenital or age-related hearing loss:
- Dalmatians: Known for a high incidence of congenital deafness.
- Australian Cattle Dogs: Also prone to congenital deafness.
- English Setters: Another breed with a higher risk of hearing loss.
- Cocker Spaniels: Susceptible to age-related hearing loss.
- German Shepherds: Can develop degenerative nerve conditions leading to hearing loss.
- White Boxers: Often associated with congenital deafness due to the piebald gene.
Knowing if your pet’s breed is predisposed to hearing issues can help you be more vigilant about monitoring their hearing.
18. What is the Role of Genetics in Pet Hearing Loss?
Genetics play a significant role in hearing loss in pets, particularly in congenital deafness. Certain genes can cause abnormalities in the inner ear, leading to hearing loss at birth or early in life.
Genetic factors include:
- Piebald Gene: This gene, common in Dalmatians and other breeds with white markings, is associated with a higher risk of deafness.
- Melanin Production: Genes that affect melanin production can also impact hearing, as melanin plays a role in the development of the inner ear.
- Hereditary Conditions: Certain hereditary conditions can cause progressive hearing loss over time.
Genetic testing can sometimes identify carriers of deafness genes, allowing breeders to make informed decisions to reduce the incidence of hearing loss in future generations.
19. How Can I Communicate Effectively with a Hearing-Impaired Pet?
Communicating with a hearing-impaired pet requires patience and adaptation. Effective strategies include:
- Visual Cues: Use hand signals and body language to communicate commands and instructions.
- Vibrations: Use vibrations, such as stomping on the floor or tapping on their body, to get their attention.
- Facial Expressions: Use clear and expressive facial expressions to convey emotions and intentions.
- Lighting: Ensure good lighting so your pet can see your visual cues clearly.
- Consistency: Be consistent with your signals and routines to help your pet understand what you expect.
With consistent training and a loving approach, hearing-impaired pets can lead fulfilling and happy lives.
20. What Support Resources Are Available for Owners of Hearing-Impaired Pets?
Owners of hearing-impaired pets have access to various support resources:
- Veterinarians: Your veterinarian can provide medical care and advice on managing hearing loss.
- Dog Trainers: Professional dog trainers can help you develop effective communication strategies.
- Online Communities: Online forums and support groups can connect you with other owners of hearing-impaired pets.
- Books and Articles: Many books and articles offer guidance on caring for hearing-impaired pets.
- Hearing Dog Organizations: Some organizations train dogs to assist people with hearing loss, and they may offer resources for pet owners as well.
The Deaf Dog Education Action Fund (DDEAF) is a valuable resource that provides information and support for owners of deaf dogs.
21. What is the Impact of Loud Noises on Pets?
Loud noises can have a significant impact on pets, both physically and psychologically. Pets have more sensitive hearing than humans, making them more susceptible to noise-induced stress and anxiety.
Potential impacts include:
- Anxiety and Fear: Loud noises can trigger anxiety, fear, and panic in pets.
- Stress-Related Behaviors: Pets may exhibit stress-related behaviors, such as excessive barking, panting, and pacing.
- Physical Reactions: Some pets may experience physical reactions, such as trembling, vomiting, and diarrhea.
- Hearing Damage: Prolonged exposure to loud noises can damage a pet’s hearing.
- Flight Risk: Startled pets may try to escape, putting them at risk of injury or getting lost.
The American Society for the Prevention of Cruelty to Animals (ASPCA) provides valuable tips on how to help pets cope with noise anxiety.
22. How Can I Help My Pet Cope with Loud Noises Like Fireworks?
Helping your pet cope with loud noises like fireworks requires preparation and a supportive environment:
- Create a Safe Space: Provide a quiet, comfortable space where your pet can retreat.
- Mask the Noise: Use white noise, music, or a fan to mask the sound of fireworks.
- Stay Calm: Remain calm and reassuring to help your pet feel secure.
- Provide Distractions: Offer toys, treats, or a favorite activity to distract your pet.
- Medications or Supplements: Consult your veterinarian about medications or supplements that can help reduce anxiety.
- Desensitization Training: Gradually expose your pet to recordings of fireworks sounds to desensitize them to the noise.
Many pet owners find that using a combination of these strategies is most effective.
23. Are There Special Products Available to Protect Pet’s Hearing?
Yes, several products are available to protect pets’ hearing from loud noises:
- Pet Earplugs: These earplugs are designed to fit comfortably in a pet’s ear canal and reduce noise levels.
- Noise-Canceling Headphones: Over-ear headphones can block out ambient noise and protect a pet’s hearing.
- Anxiety Vests: These vests apply gentle pressure to help calm anxious pets.
- Calming Sprays and Diffusers: These products release calming scents that can help reduce stress and anxiety.
When choosing ear protection for your pet, make sure it is comfortable, properly fitted, and safe to use.
24. What Foods Are Good for Pets With Hearing Impairment?
Proper nutrition is crucial for all pets, including those with hearing impairment. While there are no specific foods that can restore hearing, a balanced diet can support overall health and well-being:
- High-Quality Protein: Essential for maintaining muscle mass and energy levels.
- Omega-3 Fatty Acids: Can help reduce inflammation and support brain health.
- Antioxidants: Help protect against cellular damage.
- Vitamins and Minerals: Important for overall health and immune function.
Consult your veterinarian for specific dietary recommendations based on your pet’s individual needs.
25. How Can a Pet’s Environment Be Modified for Hearing Loss?
Modifying a pet’s environment can make it safer and more comfortable for them:
- Ramps and Steps: Provide ramps or steps to help pets with mobility issues navigate stairs and furniture.
- Soft Bedding: Offer comfortable bedding to cushion joints and provide support.
- Clear Pathways: Keep pathways clear of obstacles to prevent accidents.
- Secure Fencing: Ensure that your yard is securely fenced to prevent escapes.
- Identification: Make sure your pet wears identification tags or is microchipped in case they get lost.
- Consistent Routines: Keep a consistent daily routine to provide predictability and security.
Creating a safe and predictable environment can help reduce stress and anxiety for hearing-impaired pets.
26. How Does Hearing Loss Affect a Pet’s Social Interaction?
Hearing loss can significantly affect a pet’s social interaction with other animals and humans. They may have difficulty understanding social cues, leading to misunderstandings and potential conflicts:
- Communication Challenges: Difficulty understanding verbal commands and social signals.
- Increased Anxiety: May become more anxious in social situations due to an inability to hear approaching animals or people.
- Altered Play Behavior: May play less or differently due to decreased awareness of their surroundings.
- Misunderstandings: Other animals may misinterpret their behavior, leading to fights or conflicts.
It is important to monitor your pet’s social interactions and intervene if necessary to prevent negative experiences.
27. How Can Owners Adapt Their Training Techniques for Pets With Hearing Loss?
Owners can adapt their training techniques to accommodate pets with hearing loss by using visual cues, tactile signals, and positive reinforcement:
- Visual Cues: Use hand signals, body language, and facial expressions to communicate commands.
- Tactile Signals: Use gentle touches or vibrations to get their attention.
- Positive Reinforcement: Reward desired behaviors with treats, praise, or toys.
- Clicker Training: Use a clicker paired with visual or tactile cues to mark desired behaviors.
- Patience and Consistency: Be patient and consistent with your training efforts.
Training sessions should be short, positive, and focused on building a strong bond with your pet.
28. What Are the Financial Considerations for Caring for a Pet with Hearing Loss?
Caring for a pet with hearing loss can involve several financial considerations:
- Veterinary Care: Regular check-ups and diagnostic tests can be costly.
- Medications: Some medications can be expensive.
- Training: Professional training can help you adapt your communication techniques.
- Assistive Devices: Assistive devices, such as vibrating collars, can add to the expenses.
- Home Modifications: Modifying your home to make it safer for your pet can also be costly.
- Pet Insurance: Consider pet insurance to help cover some of these expenses.
It is important to budget for these expenses and explore resources that can help you afford the care your pet needs.
29. How Does the Loss of Hearing Affect a Pet’s Overall Quality of Life?
The loss of hearing can affect a pet’s overall quality of life in several ways:
- Reduced Awareness: May become less aware of their surroundings, making them more vulnerable to accidents.
- Increased Anxiety: May experience increased anxiety due to an inability to hear approaching threats or commands.
- Social Isolation: May become socially isolated due to communication challenges.
- Decreased Independence: May become more dependent on their owners for guidance and support.
- Behavioral Changes: May exhibit behavioral changes due to stress and frustration.
With proper care and support, hearing-impaired pets can still lead happy and fulfilling lives.
30. What is the Latest Research on Hearing Loss in Pets?
The latest research on hearing loss in pets is focused on identifying genetic markers for congenital deafness, developing new diagnostic tools, and exploring potential treatments:
- Genetic Research: Researchers are working to identify the genes responsible for congenital deafness in various breeds.
- Diagnostic Advances: New diagnostic tools are being developed to detect hearing loss earlier and more accurately.
- Treatment Options: Researchers are exploring potential treatments for hearing loss, such as gene therapy and regenerative medicine.
- Prevention Strategies: Studies are being conducted to identify risk factors for hearing loss and develop strategies for prevention.
Staying informed about the latest research can help you provide the best possible care for your hearing-impaired pet.
At PETS.EDU.VN, we’re dedicated to providing comprehensive information on all aspects of pet care, including hearing health. Whether you’re concerned about noise-induced hearing loss or age-related hearing decline in your furry friend, our expert resources are here to guide you. From understanding the causes of pet hearing loss and identifying early symptoms to exploring available treatments and supportive strategies, we offer the knowledge and tools you need to ensure your pet’s well-being. Don’t let hearing loss diminish your pet’s quality of life. Visit PETS.EDU.VN today to learn more about hearing tests, management techniques, and creating a comfortable environment for your hearing-impaired companion. Connect with our community of pet lovers and access invaluable tips and advice to help your pet thrive. Contact us at 789 Paw Lane, Petville, CA 91234, United States, Whatsapp: +1 555-987-6543, or visit our website at PETS.EDU.VN for expert pet care advice and support. Let pets.edu.vn be your trusted resource for all your pet’s health needs.
FAQ: Pete Townshend and Hearing Loss
1. Did Pete Townshend completely lose his hearing?
No, Pete Townshend has not completely lost his hearing, but he has severe hearing damage, including tinnitus, which affects his ability to perform.
2. What is the main cause of Pete Townshend’s hearing loss?
The primary cause is prolonged exposure to loud music while playing in The Who, one of the world’s loudest bands.
3. How does tinnitus affect Pete Townshend’s performances?
Tinnitus causes constant ringing in his ears, especially at the frequencies he plays guitar, making it painful and difficult to hear clearly.
4. What steps has Pete Townshend taken to manage his hearing loss?
He has adjusted his performance conditions, such as playing solo shows without drums, and has been vocal about the importance of hearing protection.
5. What hearing protection measures are available for musicians?
Musician’s earplugs, custom-fitted earplugs, and limiting exposure time are available to protect hearing.
6. Are there any treatments that can reverse hearing loss?
Currently, there are limited treatments that can fully reverse hearing loss, but hearing aids, cochlear implants, and tinnitus retraining therapy can help manage symptoms.
7. Is hearing loss common among musicians?
Yes, hearing loss is significantly more common among musicians compared to the general population due to frequent exposure to high sound levels.
8. What other famous musicians have discussed their hearing issues?
Eric Clapton, Ozzy Osbourne, and Grimes have publicly discussed their hearing issues.
9. What resources are available for musicians seeking help with hearing loss?
Audiologists, hearing clinics, musicians clinics, and hearing health organizations are available for support.
10. How can concert venues promote hearing safety?
Providing hearing protection, monitoring sound levels, and offering education and training can promote hearing safety at concert venues.
11. Can pets experience hearing loss?
Yes, pets can experience hearing loss due to age, genetics, infections, and exposure to loud noises.
12. What are the common causes of hearing loss in pets?
Common causes include age, genetics, infections, trauma, exposure to loud noises, medications, and tumors.
13. How can I tell if my pet is losing their hearing?
Signs include lack of response to commands, startling easily, increased vocalization, difficulty waking up, head tilting, and changes in behavior.
14. What diagnostic tests can determine hearing loss in pets?
The Brainstem Auditory Evoked Response (BAER) test, otoscopic examination, and auditory testing can determine hearing loss.
15. How can I protect my pet’s hearing?
Avoid loud noises, regularly clean your pet’s ears, seek prompt veterinary care, and be aware of medication side effects.