This document appears to be a presentation on accessibility and communication challenges for those who are deaf or hard of hearing. It discusses the closed cultural society of the deaf community and how communication works differently for those without hearing. Misunderstandings can occur for both hearing and deaf individuals without visual cues like facial expressions and gestures. True understanding only happens when all parties are emotionally involved. Different situations require different approaches depending on the type and degree of hearing loss for an individual. Hearing loss impacts many areas of life.