I received my Reals today, with new and more powerful receivers. He said these were an upgrade over the More and allows more room the increase the power in the future if needed. These are incredible so far, especially over my OPNs.
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I think running receivers near their upper limit gives non-optimal results.
Demoing Realāsā¦.There is hardly no feedback (cupping hands over ears) using my old custom molds/smallest vent with the Real. Coming from OPN1 105 receivers and powered up for my profound loss.
With these Realās I have more room to increase volume as you have noticed.
Could be a matter of programming but Iāve notice increased DNR directionality also, plus reduced wind noise issues and clearer with more base music streaming.
Obviously understanding speech with my loss will forever be an issue. Never had speech rescue deployed. Seems Iām told it will not help but make natural sound worst?
Same here with feedback. Massively improved. When I cup my ears, I get no feedback now whereas had loads with my OPNs so Iām delighted with this. Not tried SR yet but itās in my second program. I have found it helped a bit with my OPNs but I use the General program 98% of the time, which is how I want it to be. Just put them on and thatās it.
I am going back Friday for some minor adjustments including just turning the default volume down a couple of notches but so far, Iām really pleased with them and Iām hearing so much more than I did with the OPNs. I will of course adjust further over the next few days but first impressions are amazing so far.
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The improvement in feedback from the OPN 1 is most likely from the feedback prevention technology that was introduced in the OPN S and carried over to the More and Real ā they call it the OpenSound Optimizer ā MoreSound Optimizer ā and now RealSound Optimizer.
This improvement allows better SNR margin so in tandem with it is more headroom for volume increase.
As far as directionality improvement, I must agree that the OPN gives you a Full Directional capability but it doesnāt seem to be very effective. But since the OPN S, Oticon provided the OpenSound Booster feature in the ON app (MoreSound Booster for the More, RealSound Booster for the Real), they must have tweaked the Full Directionality to be a lot more aggressive than before, which is how it should be in the first place.
I would not be afraid to try Speech Rescue. I use it and it sounds natural enough for me. Itās better than not being able to hear the highs that I miss before. If you havenāt been able to hear those highs and with that profound loss in the highs that you have, I would be willing to bet that even with very strong receivers, you most likely have not been able to hear those highs much at all anyway. So if you canāt remember what the natural sound of those high were like because you havenāt heard them for so long, youāll most likely probably appreciate being able to hear anything in that region, let alone forget about being picky of how natural itās supposed to sound. Yeah, the āsā and āshā will sound alike, but thatās really no big deal at all in light of what I can get out of it, at least to me.
Oticon uses frequency lowering transposition and composition (instead of frequency compression), so those techniques in my opinion should make the highs sound more natural than with frequency compression anyway. I donāt just use Speech Rescue in a secondary program. I have Speech Rescue enabled in ALL of my 4 programs, even in the Music program.
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I appreciate your comments on the receivers. I asked for small receivers because of my small ear canals and TMJ issues in my left ear. I started wearing Oticon Real 2 weeks ago with unsatisfactory hearing issues i.e. unnatural, distorted speech sounds and very loud sounds from unimportant sounds like hearing paper crinkle, clapping, high heels, etc. My speaker units are 3L and 3R 85 minifit. The volume on my right ear is turned up to as far as it will go and almost as high on the left ear. So I am wondering if the sound distortion is because the volume is so high and I need a higher receiver level.
Wearing a large receiver in my left ear is very painful. My two-week follow up appointment is in a few days. I hope my audi can figure this out.
The problem is that your hearing loss is such it needs more powerful receivers, which are larger.
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My high end loss is in the same range and I have the More 1 with power domes and 105 receivers. The power domes tend to work out of my ears and there is no canal lock for the larger receivers.
I am getting the custom 105 power molds with my Real 1.
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I have the 100 db receivers that are permanently molded into my ear molds.
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Actually I misremembered. I have 100 and am getting the same power molds. I think the receiver wires are replaceable though.
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Yes the wires are replaceable.
@prodigyplace , @cvkemp: I enjoy the same, superior genuine OticonĀ®ļø 100dB receivers in my More1 MiniFit Power Moulds as do you gents
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I agree you should try P100 receivers. Keep your 85 receivers, and have your Audi show you how to change them, in case you cannot tolerate the P100. It is very easy.
I have similar issues - very small & twisty ear canals. I wear P100 receivers. In the TMJ side, I wear a Starkey comfort bud dome Occluded, normally 7mm, but sometimes the 6mm. The dome is very soft. Pic below. My Pkg of the Starkey Comfort Bud is dated 2017, so Iāve been wearing these at least 6 years with no problems. They fit securely. The P100 receiver barely goes in my ear. Ask your Audi for some samples.
Paper crinkling too loud, etc is easily adjusted. Every time I get new hearing aids that sound initially is way too loud.
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Doesnāt the programming change with receiver strength?
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Yes, @prodigyplace is correct that if you change receiver size, you need to tell Genie 2 that youāre using a different receiver so that Genie 2 can re-prescribe the gain curves to match with the new receivers. This will also prompt the REM to be redone for the different size receivers as well.
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Very good advice. Thank you!
Dr. Cliff has a pretty good review of the Real. Heās pretty enthusiastic about it.
He likes the new Oticon smartphone app, too. But relative to watch compatibility, he says the app doesnāt run on an Apple Watch. Even without MFi compatibility, having the app able to run on the Apple Watch allows you to control your HAās, change volumes, change programs, etc., through the iPhone remotely without looking for your iPhone or repetitively pushing buttons behind your ear. Dr. Cliff thinks in due time, the new Oticon app will be able to run on an Apple Watch. The ReSound Smart 3D app can run with almost full functionality on an Apple Watch, and itās great - very responsive. Hopefully, the new Oticon app will be similarly delightful whenever Oticon updates it for the Apple Watch.
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Use the Oticon ON app until Apple Watch is added to the Companion app. That is Oticonās recommendation.
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I went to an AD (on Dr Cliffs recommendation) that did the REM and I just started grinning sitting there listening to her talk Unbelievable difference
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Thank you for your post, very helpful.
Got a question about your speech recue.
Are there levels of implementation for speech rescue depending on whatever is needed and do you have it deployed at its maximum?