Hi Sarah:
I still have a hearing aid in my left ear, although my speech recognition is very limited in that ear. It was about 40%, but now that I have my CI, I feel that I can’t discern any speech without the benefit of facial cues and lipreading from that ear on its own with the help of a hearing aid. However, it does help balance things for me when watching TV or listening to music acoustically rather than streaming.
I had many of the same questions as you when it came to HAs and the CI processor. At the moment, I am wearing a Q90 Advanced Bionics processor, as I await my promised trade-up to the latest M90 (Marvel) processor which has just finally been approved in Canada. So my HA and my CI processor are working independently. When streaming, I can either stream from my CI, or I can stream to my old Widex HA with the neckloop. But it is one or the other. Obviously I stream from my implant processor as I can hear SO much clearer from it, and it is important to train the implanted ear.
Once I receive the new Marvel - very soon - I will purchase a dedicated HA by Phonak - which is called a Phonak Link. It is designed to pair with this latest Advanced Bionics processor, the Marvel. That will mean I can stream into both ears at the same time. This is exactly why I opted for Advanced Bionics. Med El does not have a paired option for an HA, but I think that Cochlear might with a Resound HA. I am not completely sure about that.
I have realized that, on the one hand, (or ear) that by streaming only into my AB processor, which I do constantly with audiobooks and podcasts and music, that I have probably really helped with my rehab. However, I have probably neglected my hearing aid side. Some days I forget to even put my HA in. That shows how well I am doing with the implant, but it is important, too, to keep the other ear stimulated and functioning. I would like to retain the hearing I have left in that ear as long as is practical. I have a fear of becoming totally deaf if I get implanted in both ears, which would mean no chance of hearing a smoke alarm etc. at night when everything is off.
Another consideration for me was rechargeable battery life. My surgeon seemed to be favouring a MedEl implant, and the Audi was endorsing the off the ear processor for ease of use. It was attractive, for sure, but the poor battery life was a deal breaker for me. I rarely have to switch batteries (I use mediums and stream a LOT) to get me through a 15-16 hour day.
I like the idea of the T-mic which is exclusive to Advanced Bionics. It allows me to hold a phone to my ear like a hearing person. However, I have no experience, obviously, with the users of Cochlear or MedEl. I will throw this out there for what it is worth: if you prefer ease of use, MedEl’s and Cochlear’s off the ear processors definitely have their place. They are probably more comfortable, and certainly better for folks who have dexterity issues. The processor is just taken off the scalp and set on a charging pad. I can see a real value there for elderly folks who aren’t interested in streaming and have arthritic hands. However, from your post, it seems to me that connectivity is a big thing for you. I happen to have just qualified as a senior, but I am still keen to be as up to date and connected as possible, hence my choice of implant. I hope this helps.
Good luck - it’s hard to gather all the information and make your decision. If it is up to date connectivity you are after, I would endorse AB first and Cochlear a very close second … but that is strictly a personal decision. Every implant is going to give you improved hearing.