Heating aid advice PLEEEZE

I have a severe high frequency loss which does impact tv, groups, conversation etc. In non-noisy environments on a one to one, I am ok without a hearing aid. A good deal of my high frequency is in the dead zone so my hearing aide specialist did say that I have to have realistic expectations. I wore a widex diva for years. Although better than a dreadful starkey which delivered horrific head noises, the diva was never fit properly deep in my my ear and there was feedback issues, some ‘stuffiness’ feeling and telephone use was always better with the aid out of my ear. Recently I was fitted with a unicon moxie yuu – so much more comfortable and the clarity did sharpen although tv without captions is still an issue and in some environments speech clarity is still difficult. A followup prior to commiting to the Yuu, I went to an audiologist who tells me the open bte are not appropriate and wants me to work with the Inteo…a bulkier bte with an earmold. There’s some sacrifice here of look and certainly in comfort. She talks about tranposition of sound from high-frequency to lower to enable clarity to be enhanced. The hearing aid specialist on the other hand says basically says ‘dead is dead’ and doesn’t see the benefit. I’ve read some questionable reviews of the Inteo – difficulty with adjustments, manufactured sound and that in the ear plug situation. It seems like a technology ‘not there yet’ Another hearing aid in comparision was the valeo. Anyway IF anyone can share some light I am quite troubled by the lack of consensus in the professional communiity and the ‘selling’ of products which seems based often on the experience, exposure or stock held by the hearing professional. Any experiences, cautions, recommendation??? Please advise.

dear sir:

let me give you some insights to your questions,

Widex and sonovation are the only 2 instruments that have frequency transposition.

Frequency transposition is not a new thing, basically the idea is to move or transpose the dead region (high frequency) into audible regions…

Frequency transposition, widex inteo had not been succesfull at all. mainly because most clients perceive that the instrument sounds real strange.

In fact, so strange that while the frequency transposition do improve speech intellegibility most people i have encounter do not use the audibility extender (AE program)…

the other issue is that while it is suspected that some areas area dead after 80 dbhl (not sure about this), the only way to know is using a ten test. which most people do not use it and there is no special equipment to make the test… so as you can see it is no so posible…

the industry overall is not betting in frequency transpoisition, it is moving towards wireless tecnology. While wireless aids i think where invented by hansaton, it was siemens which came out big with this features… Oticon had
also introduce almost a year ago a wireless bluetooth instrument which has been a hughe commercial succes for the company… Phonak has also come up with an instrument which will compete with the best and looks like a winner …
so as you can see this is more less the direction of the market…

A notable efford worth mention is GN natural direcitonality, it is really a novel concept which GN has develop. I have heard great things about this so
i think GN will rebound in the near future into the big leage…

hope this info is usefull

threshold responses at 250,500,750,1000,1500,2000, 4000 and 8000 Hz

right: 15, 25,50,85,NR,NR,NR
left: 25,30,45,65,85,NR, NR, NR

discrimination scores are 60% for the right and 56% for the left. Which are to be expected with this severe of a high frequency hearing loss.

bilateral “dead” region noted from 2000 to 8000 Hz

Keeping this in mind – any recommendations? Could I use an aid like the unicon moxie yuu…or do I need a bigger bte instrument?

MAYBE YOU ought to try a widex inteo,
did you try a Siemens Centra or Oticon epoq

what is a wireless hearing aid?

the basic idea is that the two instrument work as one processing units,
there are levels of wireless from basic coordination, ie you
increase rthe volumen in one and the 2 aids increase in volumen (ccordination)
to sound procesing,

basically Siemens, Interton, Oticon and phonak has instruments with wireless capabilities

Xbulder is correct that the attempts at Freq transposition have not been widely lauded. That doesn’t mean that there may not be a specific market for them. You truly are an ideal candidate for a frequency changing hearing aid. Until recently, Sonnovation was the only company that offered such a product and it was a transposition device. Transposition means cutting out HF information and moving it to a lower frequency. Widex recently came out with the Inteo which (I believe) uses Transposition for a limited frequency range, so as not to change all frequencies, just the higher ones. Phonak just introduced a product as well, called the Naida. It uses frequency compression in just the high frequencies so that lower frequencies (where you already hear well) are relatively unaffected. Early research on this frequency compression scheme has been promising (Scollie at U. of Western Ontario), but there is much more to come.

It is not very likely that you would benefit significantly from an open fitting and in order to get an aid with the frequency changing technology, you would need a larger BTE.

I have had success in fitting frequency changing hearing aids on losses like yours. Although the jury will be out on the new Phonak aid for a while, based on their algorithm, the change in sound quality, especially for someone with a severe HF loss should not be significant.

My opinion is that it is worth your time to take a pair on a trial period.

Good Luck!

i would give freq transposition a try for sure…

BE aware, they will sound strange… But try to focus in how much your
speech understanding has improve…

I have heard of values of up to 20%

I have read that it takes a few weeks to get used to…

I would pick Widex, simply beacuse it is a bigger company…
the inteo has been out for a little bit… Perhaps they have
better support…

Freq transposition is not a new thing… its been tryed out a while ago…
in the 80’s I heard.

In reference to earlier an earlier post…The feedback has been so appreciated for explaining a bit about the inteo and how it functions. I’ve been dealing with it for a week and I am trying to adjust to the bulky and less comfortable aide. It interferes with the telephone, glasses and cosmetically it’s another level. Moving forward, if I really noticed a difference, I would ease the try to emotionally get my arms around this but I do not see any lift or difference than I felt with the ‘yuu’ – which was so more comfortable to wear. The ‘feature’ for transposing…squawks. Sounds like feedback and once again, I am again getting that ‘blocked’ feeling that totally disappeared with the Yuu model. I was all so happy to get that plug out of my ear in the first place, this seems like such a step backward. Not sure if my ‘on paper’ report is indicative of everything. In awaiting the inteo, I had no aide for two weeks and in many senses, I managed. On paper I don’t think I am expected to. This is all so stressful and depressing. In reality, the one place I expected to see some of this touted difference was with tv…the inteo does nothing more for me. And, considering the education level needed by the audiologist or specialist to truly utilize the functions and capabilities of some of these devices, I am not sure either how much one audiologists ‘comfort level’ with their product or choice manufacturer comes into play. With the Yuu…after a consultation between a hearing aid specialist and a representative from the manufacturer – there was some ‘fine tuning’ that gave me noticeable results. I was happy. The audiologist I was then sent to (taking into account insurance) then prodded me to the inteo – saying the bte was inappropriate. All so confusing. I wore a widex diva for years and that was highly recommended at the time. I dealt with issues from the get go – convinced that I had to make it work because that’s what (at the time) was right ‘on paper’. I feel stuck in what I am told I should use, and what I feel comfortable using. In reality, with technology and advancements all of this is just another stop gap before the next best thing comes around. Should I ignore instincts and what seems confortable and right for me or just surrender to what should work better? So confused and miserable. Sorry for whining but this process is just taking a toll. Feedback appreciated.

“Recently I was fitted with a unicon moxie yuu – so much more comfortable and the clarity did sharpen although tv without captions is still an issue and in some environments speech clarity is still difficult.”

It sounds like you really like this aid except for some enviroments.

You must ask yourself how often you are in these enviroments, how IMPORTANT are what goes on in these enviroments, and could you do anything else there that would help. Ask to switch seats with some one, move to the front row etc? If you are willing to be BOLD? Perhaps you can gain some there.

the Yuu is an improvement on your last aid and makes you feel comfortable, I’d say go with it.

I might add I am not an audi (and thus my advice isperhaps of little value), but I am hearing impaired and can relate to being pulled in two different directions on an important decision.

Let me explain the problem, as I have reported previously. It has been proven that frequency transposition it does improve speech understanding but it need a lot of time to get used to … And some fine tuning…
Most people, reject it out of the bat because it is simply to Strange and not naturally…

Perhaps, this is the reason why several companies has not really move in this direction. That said, I would say a YUU would be a significant improvement over the previous Diva…

Im new to this site. I would appreciate if you could show me around
http://www.avplannersinc.com/audio-visual-new-york-audio-video-installations.php

Appreciate the feedback…sometimes I think we ‘civilians’ can actually profide some sensible…if not ‘professional’ feedback.