Is REM necessary with hearing test conducted with hearing aids?

[Member265]

Instead of the usual hearing test, when a hearing test is conducted using hearing aids instead of the usual headphones, is REM still necessary?

[Adrian]

Here:

Real ear measurement vs. in-situ audiometry

I had a discussion with my acoustician. I wanted to have a real ear measurement and she said that the Signia 7x can do an Insitogram via software. Are the 2 techniques compareable? Theoretically, the structure of the ear is also taken into account with the Insitogram via the hearing aids.

[Adrian]

And here:

REM - Real Ear Measurement ... what is it?

Since I wrote about having trouble with the adjustment of a new aid, someone asked me if I have had REM done, they said it was Real Ear Measurement. I asked my audi and she didn’t feel it was necessary with the new type of aids, but said in the future she could try it. I’ve tried a search, but nothing comes up that explains it. What exactly is REM, how is it done and would it help with the newer aids or someone with my loss?

[Adrian]

I don’t use REM, considering I am just a hard-of-hearing person with no money to afford a REM; however, I constantly read everything I can about it. I am with all those people who think it is necessary.

Somehow, REM got trapped in the game-scarce-demand-profit. Suitable for whoever is manipulating the REM tools.

It is a good idea to learn all about it. This forum has a lot of content if you use the search tool here. You will eventually be able to leave without it, as many here do.

[PeterH]

I’ve never had REM and I now self programme 3 pairs of Phonaks.

Phonak Target has its own hearing test (using the aids). Once the test is done they recommend their included “Real Ear and feedback test”. With the hearing aids in, a series of tones and hisses are playing into each ear (one side at a time). I guess the hearing aid mics pick up how much of each tone escapes, and adjust the fitting appropriately.

I ran this recently on all 3 sets (without covering vents) and have had surprisingly good results, with more available gain available in the high frequencies I need.

Peter

[raylock1]

@PeterH

I ran this recently on all 3 sets (without covering vents) and have had surprisingly good results, with more available gain available in the high frequencies I need.

@PeterH Why would you have covered the vents? ( Learning mode here)

[tenkan]

Occlusive fit gives more usable gain without feedback when running the test.

[PeterH]

Because Phonak has very aggressive feedback management. It will suppress high gain settings in high frequencies regardless of whether they are needed. WhistleBlock does the same in Target