For the past week and a half, I’ve been hearing the world in mono. Not by choice. It started with a sudden, spectacular stabbing pain in my left ear one night. By the next morning, I’d lost most of the hearing on that side. I hadn’t been sick. Nor had I been swimming. I’d never even had an ear infection before. I’m more of a sinus infection sort of person. Two visits to general practitioners, two different antibiotics, and a great deal of pain later, I finally got in to see an ENT specialist. She took one look inside my ear and said, “Oh no, you poor thing.”
Turns out I had a raging fungal infection. She proceeded to suction an appalling amount of crud out of my ear, a delightful procedure I subsequently learned is called an “aural toilet.” When I shared that terminology with friends, we agreed that Aural Toilet would be an excellent name for a punk band. I’m picturing their debut album, Discharge.
Once the excavation was complete, she packed my ear with an antifungal antibiotic concoction. At today’s follow-up, we added another fun discovery: a tiny perforation in my eardrum. So that’s where things stand. The pain has improved dramatically, my hearing has started to return, and I’m hopeful that both the infection and the perforation will resolve without lasting damage. In the meantime, my ear is once again packed full of pudding (ointment), everything sounds muffled, and there’s a persistent buzzing and ringing providing an unsolicited soundtrack. I’m getting a firsthand education in hearing loss that I hadn’t planned on.
Another disability for the collection
I already have a respectable collection of non-apparent disabilities. I’m autistic, have severe ADHD, chronic migraines, and occipital neuralgia. None of these is necessarily obvious to someone looking at me. They affect how I experience and navigate the world, but most people wouldn’t know about them unless I told them. Now I’ve added hearing loss to the pile. Hopefully temporarily.
And this one has been notable because of how abruptly it changed my ability to do things I normally take for granted. I work in accessibility. I spend a substantial part of my workday listening to screen readers, participating in video meetings, talking with clients, and working with blind and low-vision testers. Suddenly, all of that became more difficult. In video calls, I was struggling to follow conversations. I couldn’t reliably tell where sounds were coming from. Wearing a headset could be uncomfortable, and the sound quality changed depending on what was happening inside my ear.
Even ordinary entertainment required reconsideration. I’m a huge Godzilla fan, but I’ve held off on seeing Godzilla Minus Zero in the theater until this ear situation is sorted out. Would I be able to follow the dialogue? Would the volume be uncomfortable? And really, if I’m going to watch Godzilla stomp around I’d prefer to experience the destruction in stereo. I’ve been watching television with captions for years, but suddenly they became considerably more important. None of this was catastrophic. But it has been disruptive, exhausting, and occasionally isolating. And it happened overnight.
Disability isn’t a fixed category of people
One of the things I wish more people understood about accessibility is that disability isn’t some rare condition affecting a small, separate group of people. Disability is part of the human condition. Some disabilities are permanent. Many are temporary. Others are episodic or fluctuate over time. And some limitations are situational. Consider captions. A Deaf person may rely on them every day. Someone with temporary hearing loss, like myself, may suddenly need them. Someone watching a video on a noisy train or trying not to wake a sleeping child may benefit from them too. The experiences aren’t equivalent, but the accessibility feature may be exactly the same. Or consider keyboard accessibility. It’s essential for many people with permanent mobility disabilities, but it also helps someone recovering from a broken wrist.
Cognitive accessibility is particularly relevant to my autistic and ADHD brain, but clear instructions, predictable navigation, and manageable amounts of information also help people who are exhausted, distracted, or under stress. Plain language and clear organization can also make an enormous difference for someone reading in a language that isn’t their first. They may be perfectly capable of understanding complex ideas while still having to work harder to decipher unfamiliar vocabulary, idioms, or unnecessarily complicated instructions. Accessibility addresses a much wider range of human experiences than we often acknowledge.
A rather timely lesson in usability
As it happens, today is World Usability Day, which seems like particularly appropriate timing for this little adventure. We tend to talk about usability in terms of whether something is easy or intuitive to use. But easy for whom? Under what circumstances? With which abilities? An experience that works beautifully for someone one day may be frustrating or completely inaccessible to that same person the next. I’m currently a walking (and somewhat hard-of-hearing) reminder that the people using our products aren’t static, and neither are their abilities.
And while usability and accessibility aren’t interchangeable, they’re closely connected. Something can technically meet accessibility standards and still be frustrating or unnecessarily difficult to use. Likewise, something that seems wonderfully usable to one group of people may present insurmountable barriers to another. That’s why we need to consider a wide range of people, abilities, and circumstances when designing and evaluating experiences.
When the accessibility professional encounters the barriers
I’ve worked in digital accessibility for more than a decade. I understand the standards. I know how assistive technologies work. I can explain why captions, transcripts, accessible communication, and flexible interaction methods matter. Knowing all of that doesn’t make an accessibility barrier any less frustrating when I’m the one encountering it. There’s a difference between understanding a barrier professionally and having it unexpectedly interfere with your own day.
Of course, difficulty processing spoken information isn’t entirely new to me. I’ve always struggled to follow conversations when people talk over one another or there’s competing background noise. The clinician who diagnosed my neurodivergence also suspected I have an auditory processing disorder. So clear speech, captions, and written information were already important to me. Now, with hearing loss added to the mix, processing spoken information requires even more effort.
And my existing disabilities haven’t taken a vacation while this is happening. The ADHD is still ADHDing. My brain still processes information the way it does. Trying to compensate for hearing loss while managing pain, discomfort, and fatigue doesn’t exactly improve my cognitive bandwidth. Disabilities don’t politely take turns.
Accessibility shouldn’t depend on whether someone can prove they need it
We spend far too much time treating accessibility as a special accommodation for a narrowly defined group of people. Why should someone have to disclose a disability to get captions or explain why they need written instructions? Justify using a keyboard instead of a mouse? These options should be available from the jump.
Accessible design doesn’t eliminate every barrier, and it doesn’t replace individualized accommodations. But it reduces the number of situations in which someone has to ask for help just to participate. It also acknowledges something fundamental: people’s abilities and circumstances change. Sometimes gradually, over years. Sometimes temporarily, after an injury or illness. Sometimes overnight, because a fungus decides to set up housekeeping in your ear.
The point isn’t that everyone is disabled
There’s a popular accessibility argument that everyone experiences disability at some point, so accessibility benefits everyone. There’s truth in that, but it can also flatten important differences. My temporary hearing loss isn’t the same as someone’s lifelong experience of deafness. Situational limitations don’t necessarily carry the same barriers, discrimination, or consequences experienced by people with permanent disabilities. And accessibility doesn’t need to benefit absolutely everyone to be worth doing. Disabled people deserve equitable access because they’re people. Full stop.
The broader benefits of accessible design are an additional argument, not the justification for disabled people’s inclusion. What temporary and situational limitations demonstrate is how fragile our assumptions about ability really are. We design so many experiences around an imaginary person who can always see, hear, move, concentrate, remember, and process information in exactly the way we expect. That person doesn’t exist. Real people have bodies and brains. They get sick or injured. They age. Their abilities fluctuate or their environments change. And some of us have several of these things going on at once.
Back to hearing in stereo, hopefully
I miss my left ear. More precisely, I miss being able to hear properly out of it. I lost most of my hearing on that side practically overnight, and while some of it has started to return, things are still decidedly muffled, especially with my ear packed full of medication. And then there’s the persistent buzzing and ringing. Apparently, my left ear has decided that if it can’t reliably deliver sounds from the outside world, it’ll just generate its own soundtrack. Unfortunately, I don’t particularly care for the playlist.
Not that hearing has ever been entirely straightforward for me. Following conversations has always required extra effort, especially when people talk over one another or there’s background noise. But I’d really like to get back to my usual level of auditory processing difficulty rather than this enhanced edition.
I also miss not having to think about my ear every few minutes. And I would really like to stop having medical professionals put things in it or suck things out of it. With luck, the infection will clear, the tiny perforation will heal, the unsolicited soundtrack will stop, and this particular disability will become a strange little footnote in my medical history. But I’m not going to forget how quickly my circumstances changed.
I didn’t become a different person when I lost hearing in one ear. I already had disabilities and accessibility needs, even if they weren’t apparent to the people around me. What changed was the addition of another barrier, one that made things I already found challenging considerably more difficult. My need to participate in meetings, communicate with colleagues, enjoy entertainment, and go about my life didn’t change. My ability to do those things comfortably and effectively did.
That’s the thing about accessibility. It isn’t about designing for some hypothetical other person, or assuming that anyone’s abilities are fixed. It’s about designing for actual human beings, whose bodies, brains, abilities, and circumstances are wonderfully and sometimes spectacularly unpredictable. And occasionally full of fungus.














