The veteran sat there processing what we'd told him.
"What am I supposed to do with this information?" he asked.
Dr. Martinez pulled out a piece of paper.
Started writing.
"We can't officially recommend anything," she said. "If we prescribe treatments outside of approved protocols, we can be disciplined. Possibly lose our licenses."
"But we can provide educational information."
She wrote down specifications. Wavelength numbers. Protocol details.
"If you were to search for devices matching these specifications, you might find something."
She handed him the paper.
"But I need to warn you," I said. "This doesn't work for everyone."
"It specifically addresses neural processing damage from blast exposure, artillery, machinery noise in enclosed spaces."
"If your hearing loss is from other causes—acoustic neuroma, Meniere's disease, ototoxic medications—this approach won't help."
"How do I know if it'll work for me?"
"There's an assessment," Dr. Martinez said. "Takes about 30 seconds. Checks your damage pattern. Your exposure history. Your symptoms."
"If you qualify based on the assessment, there's a 72-78% chance you'll see significant improvement."
"If you don't qualify, you'll know not to waste your time and money on an approach that won't work for your specific situation."
"About 30-35% of veterans don't qualify?" he asked.
"Yes. Their damage pattern is different. This approach won't help them. But if you do qualify..."
I stopped.
"If you do, you might actually get your hearing back."
He folded the paper. Put it in his pocket.
"Why are you telling me this?" he asked. "You could get in trouble."
"Because I've spent sixteen years prescribing hearing aids I know will fail," I said.
"Sixteen years watching veterans return devices. Watching them give up. Watching them isolate."
"All while knowing there's research showing better approaches."
"I'm tired of it."
"We didn't tell you this," Dr. Martinez said. "If anyone asks, we gave you general educational materials about hearing loss."
"Understood," he said.
He stood up. Shook our hands.
"Thank you."
After he left, Dr. Martinez looked at me.
"You know we just broke protocol."
"I know."
"If he reports this—"
"Then I'll deal with it. But I'm done watching veterans fail while we follow protocols that don't work."