Hello user444. This is a very interesting thread. Spectrograms, too!
Cursed/blessed with hearing developed in a BBC job, and having a love of music, hearing aids for later life high-end droop have introduced new challenges. I have learned that individual audiologists may or may not be music-aware, and I have to say that seems to apply to some manufacturers as well.
First - that shake/rattle phenomenon. For several years, my obsolete Phonak Naidas delivered pretty good speech and ‘live’ music, once all fancy processing had been turned off, apart from high end boost and ‘comfort’ compression.
Then, I was fitted with Signia something-or-others. Dreadful, painful clicks on transient sounds - including elements of speech - simply because the compression was too slow acting. In my day-work I would regard such a thing as mis-design. I improvised a test-rig, and showed the trace of spikes to my audiologist, who to her great credit made contact with the manufacturer.
Now, she’s fitted me with later Phonaks, the M70. She took care, let me try music, extended the lows so I could even hear down to 40Hz, bottom E. Wonderful, but earmoulds had to be replaced - and since then the settings have evidently changed: warble at 2,100 Hz, low-beats if you play that C with an E, ‘clogged’ and phasey orchestral sounds, fade-aways if the music is quiet…
So, yes, fitting is crucial.
As for microphones. It would be surprising if they were culprits. A basic condenser capsule can be bought for £1.50. These will deliver excellent fidelity, and don’t overload until sound level is very high. No doubt hearing aid miniatures do cost more, but surely not worth cheapening?
Most of the cost of an aid is not actually in the box, but in the services and research surrounding it! The very fact that those iPods pro work so well at a fraction of typical HA costs says a lot.
That’s an ingenious diagnosis, to use a napkin over the mic. Similar here: I have a pad over my hi-fi tweeters so they give out less of what I cannot hear anyway, and put less stress on the hearing aid. Yes, indeed, there should be early-stage filtering. Among the handful of really smart audiology professors, ‘Scotch-tape’ Marshall Chasin has always championed early analogue treatment (for example limiting) ahead of the processing. That’s pretty standard in sound studios.