Hearing aids can seem like a big step. This NYC Ballet principal dancer doesn't regret taking it

NEW YORK (AP) — Sara Mearns was missing her cues.

She couldn't hear what her dance partner was saying from across the studio. She was late for her entrances because the music sounded too soft.

Without telling anyone, she finally made an appointment to get her hearing checked.

Mearns learned that she had hearing loss. After years of isolation, she got the tools to make sense of a world that had gotten muffled.

Now, she's one of the first dancers with the New York City Ballet to wear hearing aids during performances.

“I feel like it's a whole new chapter of my life,” Mearns, 40, said in an interview with the AP.

While hearing loss is common in older adults, it can happen at any age and can be caused by things like nerve damage, infection or head trauma. For Mearns, it may have been a blend of factors including genetics, medical conditions and exposure to loud noise.

According to the National Institutes of Health, less than a fifth of American adults aged 20 to 69 who could benefit from wearing hearing aids have ever used them. That's due to lack of access, shame or embarrassment and just not knowing the symptoms.

“Hearing loss is often not detected by the person because what they can't hear, they don't know,” said Dr. Anil Lalwani, a hearing expert with Columbia University Irving Medical Center.

Still, “there are a lot of symptoms of hearing loss that are not hearing less,” said Dr. Maura Cosetti with Mount Sinai’s New York Eye and Ear Infirmary.

One thing to look out for is saying “what” more often, and not being able to hear friends and family in noisy settings like restaurants. Other symptoms include ringing, a sensation like something is stuck in the ears or conversations sounding muffled.

During the COVID-19 pandemic, Mearns couldn't hear conversations when people were wearing masks.

“I realized that I was reading everybody’s lips to understand what they were saying,” she said.

Experts say to let a doctor know if you think you may be experiencing symptoms of hearing loss. They can help you connect with an audiologist or an ear, nose and throat specialist to get a hearing test.

Cosetti with Mount Sinai said the Mimi Hearing Test app can be useful resource to get a sense of your hearing. Seeing a professional is the best way to figure out what's actually going on — like whether your ears are just plugged up with wax or fluid.

Hearing aids fine-tune the sound signal that enters the brain, enhancing speech while lowering background noise. They can be expensive, but many are now available over the counter. Some Apple AirPods also can be used as hearing aids.

For more severe forms of hearing loss, doctors may recommend a device called a cochlear implant, which converts sounds into electrical signals that are sent to the brain. These include a surgically inserted component and can take months to get used to.

Mearns initially felt embarrassed to step into the booth for her hearing test, knowing she wouldn't be able to hear all the words. Her audiologist, Marta Gielarowiec, helped her understand what she was missing and guided her to appropriate hearing aids.

“It's definitely not a one size fits all. There is a lot of adjustment, tuning and calibration involved,” said Gielarowiec, who runs a practice in New York. “Overall, the goal is to maximize the hearing that’s left.”

Addressing hearing loss can help boost mental health, improve communication and slow cognitive decline for people at high risk of dementia.

When Mearns walked out of her audiologist's office wearing her aids for the first time, she felt overwhelmed. She could hear the pattering of shoes on the ground, the chirping of birds across the street and the billowing of a flag a block behind her. Returning to her dressing room, she cried.

She can now hear the full might of the orchestra when she performs — and take phone calls in her ears.

The life she was living before, she said, was exhausting. At the end of every day she was spent from the strain of asking people to repeat themselves and missing out on conversations and the punch lines of jokes.

“I don’t want people to feel what I felt, where I was embarrassed and I was quiet about it,” she said. “Because now that I’m on the other side, I’m so happy.”

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

Sara Mearns, principal dancer at New York City Ballet, warms up on March 17, 2026, in New York. (AP Photo/Shelby Lum)

Sara Mearns, principal dancer at New York City Ballet, wearing hearing aids on March 17, 2026, in New York. (AP Photo/Shelby Lum)

TEHRAN, Iran (AP) — Iranians reacted with a mixture of disappointment and defiance on Sunday after peace talks with the United States failed to reach an agreement following hourslong negotiations.

U.S. officials said the talks collapsed over what they described as Iran’s refusal to commit to abandoning its nuclear program. Iranian officials blamed the U.S. for failing to reach a deal, without specifying the sticking points.

The failure of the high-stakes talks in Pakistan after 21 hours casts doubt over the future of a fragile two-week ceasefire, due to expire on April 22.

Standing outside a newsstand in the capital, Tehran, Farhad Simia told The Associated Press he had hoped for successful negotiations and an end to the fighting, but stood with Iran despite the failure of the talks.

“I’m against war. I think negotiation is the better path,” Simia, 43, said. He blamed “inappropriate demands” by the U.S. for the failure to reach a deal.

Mehdi Hosseini, also 43, agreed: “Considering the advantage Iran seemed to have on the battlefield, there was a real concern that we might lose all those gains in the negotiations.

“Whether the talks succeed or not is one matter, but the fact that the Iranian negotiating team managed to preserve what it achieved in the war, while refusing to back down and surrender, gives reason for hope.”

The streets of Tehran were lined up with large Iranian flags and giant billboards glorifying the country's leaders and military achievements. One large illustration depicted Iranian men in uniform lifting a fishing net out of the sea with a catch of miniature-sized U.S. military aircraft and warships. “The Strait Remains Closed,” the billboard read.

Hamid Haghi, 55, said “America's overreach” was the reason for the talks' failure. The U.S. wants “to come to the Strait of Hormuz, which is a legacy from our fathers,” he said. “We can oversee (it) ourselves.”

Like many Iranians, 60-year-old Mohammad Bagher believes Iran should continue to stand strong against the U.S. in what he sees as a war of their own making.

“We are a nation of dialogue and negotiation as long as our interests are respected. We have never sought war,” he said. “We will stand firm to the end, we are ready to sacrifice our lives, and will not give them one inch of our land.”

Since the U.S. and Israel launched the war on Feb. 28, it has killed at least 3,000 people in Iran, 2,020 in Lebanon, 23 in Israel and more than a dozen in Gulf Arab states, and caused lasting damage to infrastructure in half a dozen Middle Eastern countries.

Iran’s grip on the Strait of Hormuz has largely cut off the Persian Gulf and its oil and gas exports from the global economy, sending energy prices soaring.

A billboard of the U.S. Iran talks is seen near Serena Hotel, the venue for the U.S. Iran officials meeting, in Islamabad, Pakistan, Sunday, April 12, 2026. (AP Photo/Anjum Naveed)

A worker cleans the street as police officers walks towards their vehicle outside a media center close to Serena Hotel, the venue for the U.S. Iran officials meeting, in Islamabad, Pakistan, Sunday, April 12, 2026. (AP Photo/Anjum Naveed)