Advanced Bionics CI Activation a Success

Thanks! That is reassuring.

Joan you are off to an amazing start on your hearing journey. Congratulations :tada: I don’t know what you have been told with AB, when I was activated I was told to improve the speech understanding to spend some time each day just streaming to your CI processor and not bimodal. Doing that improve my comprehension dramatically within the first month.
Good luck on your journey Joan.

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Thanks Sheryl - I can see how that would be super helpful. I did that last night for a bit. My AuD recommended CI only rehab for an hour, 4-5 times a week or so, which surprised me at being so little.

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I wonder how long until two distinct voices (HA and CI) merge I to one. That would help a lot!

a year, you will notice that things sound the same as your brain rewires itself. i can only tell there is no bass in my music since my sound processor starts at 188 hz so i hear none of the bass freq. The high frequencies are night and day different on music , speech understanding. CI triumph that. My hearing in my left non CI ear is 80% WRS and i can tell you that they merge very effectively , i’m doing extremely well in noise and My CI is 80%, bimodal 96% bimodal noise test was 70% (Oticon dynamo and n7)

…4 years, upgraded from N7 so N8, and oticon dynamo/resound quattro to resound omnia. it is turned me into a hearing person that more than what i asked for in my CI

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I have the Marvel AB Ci with Link HA. I have the same feeling about having a delay between the two. That is very noticable when in noise/ more people speaking. In quiet face to face it is very good, but more distance or extra noise it is terrible. I have it now a year and a half. AB has no adjusting for the delay, the audi in the hospital told me there is another make that has that. And told me more customers had complained about it. Using the Roger On helps not always ut in some situations, best to shift the remote so it does not use the mics on the ci/ha, only the Roger ones

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Sorry to hear about that.
Is there a delay while streaming?
It’s almost like some kind of noise reduction setting in your In Loud Noise hearing aid pogram.

Good luck with this.

Also sorry to hear that it hasn’t resolved for you. I am much less aware of it a month later, but agree it might be more noticeable in group situations. The trickling water background sound is much less intrusive now - I barely notice it and sometimes it disappears. Progress. I’m at the highest progressive level set at activation and have my first mapping on Wednesday. Curious if anything will be changed other than more volume .

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Streaming works the best for understanding voice, there are no acoustics involved. Teams meetings go very well. Better than the same group of 8 people live in a meeting room. Taking the Link M out makes it sometimes also better.

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Sure sounds like you are doing well with your CI.
Something’s just take time and it will get even better.

Do you have latency problems while streaming?
Thanks

I am trying to help you figure this out so you can talk to your audiologist about it. I think it’s fixable.

It feels like latency between Ci and HA. It’s not adjustable in the CI or HA software. I have the Phonak Target software for the HA, there is nothing to adjust related to timing. Streaming doesn’t give the feel that there is a timing problem.

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I am having the issue with n7/n8, and resound Quattro/Omnia using the Android ASHA protocol but not on MFI protocol on iOS or the resound/Cochlear streaming HW… I think LE audio will fix this completely…

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@joanhawsey it sure sound like you are doing very well. I’m very happy for you.

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Thanks All. Yes it is not an issue when streaming. I detected the delay at activation right away. I sort of thought the connection between the Phonak Marvel Link HA and CI would do that better because they are “linked”. Now I am hoping that increased volume on the CI will help. The “reverb” I hear in what I think are higher frequencies - maybe the consonant sounds - will need to be calmed if volume is increased. Hoping that is possible. Can anyone tell me what to expect of the first mapping? I don’t have a clue.

I heard nothing in the first time i was mapped, just low frequency sound audible, that about it, my understanding is what the first time you are mapped, they start with the default and then they do more tweaking in the second round, that what happened to me… it sound like the audiologist need to adjust the pulse per second (PPS) parameters of your processor.

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Thanks - I’ll look that up and add a note to my notes

I had my one month post activation CI mapping appt today and had excellent results. I started from a higher place because I decided to get the CI sooner than later because I was missing a lot in real life. AuD said some patients hear a slight delay between HA and CI ears, and the PPS is already set to the max so no adjustment option available. My brain will adjust. Adding some CI volume has helped with the issue. Added several programs to try out. I was offered to skip my 3 month and come back at 6 unless I needed volume or a specific change. Of course real life hearing offers more challenge than the booth.

Mapping: percentages listed below show results before with aids, and one month after activation with CI left ear and new HA right.

Words both ears aided: 76 - 92%

Words left ear only: 40 - 72%

Sentences in quiet both ears aided: 98 - 98%

Sentences Cl only: 55 - 89%

Sentences in noise both: 61 - 94%

Sentences noise Cl ear only: 37 - 88%

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that is impressive! enjoy it! You actually don’t need max PPS. mine is 720 PPS with 10 maxima. which is definitely not maxed out. Total PPS is 7,200, i Cochlear can do 32,000 Total PPS but it drains the battery faster but more isn’t better because it is based on your neural firing pattern…

4 month post activation update: my hearing booth testing for my CI ear is in the normal range across frequencies. Scored 95% in booth testing for my CI ear for both words and sentences. I had a good bit of what I would describe as “reverb” in my head from both my own voice and while streaming or on the phone. Reducing my higher frequency electrode volumes just a tad seems to have helped with that, making listening more comfortable. I am thrilled with this early success, for sure and will keep up with rehab to fine tune.

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