#7

i have had my ears checked at the doctor when i realized after recovery my hearing got worse :frowning: … went immediately to him and my audiologist .
Doc offered some medications and i feel pretty healthy rn .
My audiologist adjusted my aids with the new audiogram , he knew i needed a fitting appointment for a new molds and reprogram … the 100db receiver was recommended from the doctor as well .

2 Likes
#8

after your illness what is you word recognition scores. Also like I said earlier setting the aids to speech recovery may help. It lowers the information from the upper frequencies to lower frequencies that you can hear better in.

1 Like
#9

i actually haven’t done Words test yet cuz my doctor insisted to wait for couple weeks.
i will see my audiologist in 4 days we will run new tests …
my word recognition before illness was 80% .
i will uplode my old Hearing test audiogram here

1 Like
#10

20220720_094332
20220720_0943323024×4032 1.51 MB

#11

1)Speech Rescue is Oticon’s form of frequency lowering. Higher frequency sounds that one can’t hear are shifted down to lower frequencies so one can hear them. In your case, I’m not convinced you have enough space to shift them to.
2) It’s pretty clear 85dB receivers are going to be inadequate for that loss. If you’re going to try new receivers, I’d go for the 105dB ones.
3) When you hear the higher tones, do you still hear them as tones or do they sound like static? If they sound like static, it would suggest cochlear dead spots.
4)I too think an evaluation for a cochlear implant is in order.
Keep us posted!

5 Likes
#12

Is your issue sensorineural (auditory nerve) or conductive? If conductive, a bone assisted hearing aid (BAHA) may be appropriate, and much simpler than a cochlear implant.

I have a power aid in my right ear, with custom molds in both ears. I also have blocked the vent in my right ear. this boosts bass response, but may impede hearing voices. Works well for me.

I also have a Cochlear brand Osia BAHA. The damn thing is terrific. I only use HA’s for playing my classical guitar and live concerts, along with the Osia. but my auditory nerve is perfectly fine.

1 Like
#13

Thank you sir for your reply.
i will make sure to update my statu once i make it to audiologist .
-about speech rescue atm with my 85db its really helpful i have got 2 general programs one with the SR On and another without (both high frequencies bands ON)
i still can sense the benefits out of it like my car noises and alarms microwave and the clocks still can be heard with SR on , On the other hand without SR i have to foucs more to hear these sounds (more harder) but still sensible
before my illness i managed to hear birds, cockroachs and Water drops on both programs .
-Doc said its too early for cochlear as he believe i have chance to recover some of my recently lost db he recommended to get the 100 db receiver and my audiologist also recommended to switch from domes to molds which he asked me to decide if i want them Acrylic or silcon , hard or soft colored or not … i preferred the transparent acrylic abit more .

  • For high tones : i did hear 2k 4k 5k but 7k / 8k were static
    -i will do new word recognition test before updating my aids and will do Rem after switching to 100db receiver
    -105 db wasn’t recommended from my audiologist , he said that i was able to speak with him over the phone without any aids and also with the notes i made it may cuz some troubles for the sound clarity, my ear canals small abit .( has no clue what that mean but he was impressed that i managed to speak with him without repeating many What!? ) …
  • will update you guys on my next fittings appointment.

Thank you

2 Likes
#14

The 100dB receiver is massive overkill for that loss. There’s the possibility of dead-spots on that Audiogram

Bigger coils and larger diaphragms aren’t doing you or your batteries huge favours.

1 Like
#15

Certainly defer to your experience, but wouldn’t 100dB be better than 85dB at 1500 Hz? I’m unclear on what OP means that he was tested at 5k, 7k and 8k as that is not typical. Seems pretty clear that 6k and 8k are cochlear dead areas, and even 2k ahd 4k look pretty iffy.

2 Likes
#16

Look at the actual differences in output on the Full On Gain (FOG) levels between the two receivers.

1 Like
#17

excuse my Typo it was 6k and 8k****
and yeah my doctor did test my 5k ranges on external device and i managed to hear it hardly.

1 Like
#18

am not sure what to say sir , in 3 days i will run new hearing evaluation test .
Doctor told me to be optimistic .
as for 2k and 4k my i have them 105 and 110 after illness occurred.

#19

Nothing wrong with using them if you need them: after all I can’t see the size of your canals or do a REM, to see the in-situ output, and note the losses from your mould etc.

Whatever works for you, my point was more a general reference to your Audiogram and the typical receivers we’d use.

I’d probably abandon above 3Khz as the ‘return’ is unlikely to be worth it.

3 Likes
#20

so ur recommendation is to keep the 85db receiver and switch to custome Molds and amplify only up to 3k-4k Hz ranges ?.
audiologist said my domes drawing me back .
Should i ask audiologist to do a tones test while using the current set to check if Higher frequencies are completely dead or not ?

#21

Even over 2.5KHz, all you’re likely to get is too much power and distortion affecting the better part of your low frequency hearing.

The way I’d run that is to follow the normal gain levels to 2 KHz and then just roll the response flat across from there. There’s really no point in trying to pump in 33dB of gain at 3Khz and affect your lower pitches. The 85dB can do that without pain.

You’ll also save yourself a lot of feedback and canal seal issues.

(Have a look at the Speech Rescue settings too.)

4 Likes
#22

Okay I understand your point now.

2 Likes
#23

that is totally reasonable sir , i will discuss that with the Audiologist!
about custom molds is there any preference for my hearing loss ??

Thank you for u help.

#24

Decide if you prefer the canal fit of moulds over domes. Oticon used to do some pretty nifty micro-moulds. You might hate them due to the relative lack of venting over domes.

Given your good low frequency results I’d suggest you need at least a 2.4mm vent, but Genie 2 might pull out a different result, and you might prefer a slightly more occluded fit. That said, there’s more room around an 85dB receiver to play with different options.

We also find that semi-soft acrylic at about 10-12mm depth holds it’s shape pretty well: especially if you can get a decently deep impression. It will also take a small vari-vent kit to change the diameter of the venting. The other good thing about the acrylic is that it bonds well on the back face - I put a drop of UV setting acrylic liquid after I’ve fully inserted the receiver to make the faceplate look tidy.

3 Likes
#25

I appreciate your time and well elaboration sir .
I like in canal molds indeed, May I ask how soft- acrylic (semi hard) look like ?
Aud said they are only hard , and soft ones are silicon type.

#26

That’s interesting. They fitted me with UP receiver.for resound quattro/omnia… So are you saying in my case, it is a waste of power? I hear up to 5 kh which is the exact freq range for UP or should step down to HP speaker to get more freq out of this/?

1 Like