#42

Yes, saw the blue line. So where do I start? Per Valusiano comment, Phonak has a higher range on speech rescue (Oticon white paper - frequency lowering range 2015).
There is an offer in classified section, Phonak Paradise P90 selling at USD750 per pair. Very tempting.

Thanks

#43

@Zebra @Neville

Would a powerful Phonak or Oticon be helpful in my case?

#44

Your loss is profound, possibly off the chart in some of those frequencies,a BTE would be a good place to start, like Nadia UP, can’t understand why anyone would recommend RIC, next step is CI, something you have to seriously consider, even tho I see you mentioned you didn’t want to do this.

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#45

BTE is slightly bigger. RIC is just nice. The Audi started with More 3 and I bought More 1! So I end up with RIC and a difficult to hear in noisy environments. Watching TV is fine and a quiet restaurant is OK but not in the seminar room or noisy restaurant.

CI is very expensive here and insurance does not cover it.

#46

@dankailo: Good morning, Dankailo! If I were you, I would seek the counsel of @kevels55 - he has a lot of experience with profound hearing losses.

I don’t think you would benefit from the features that @Volusiano has described because you are right close to the edge of the fitting margin for most regular HAs. I think you’re in Oticon Exceed (old technology) or Phonak Naidu territory.

Personally, I’d be like you and not want a CI, but I think there are Members whose posts I have read about what can be done these days with UP hearing aids. But I’m certain @kevels55 will be glad to help you.

I’m sure you know I wish you nothing but the best of luck in searching for sn appropriate treatment for your loss. I send you only my kindest regards to that effect.

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#47

Good Morning to you. Our time is 4.50pm.

Good idea to check with@kevels55

#48

BTE is what is needed tho to gain the best you can from hearing, I think.

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#49

The frequencies you’re missing out on, I believe is where clarity comes from and better understanding in noise?

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#50

@dankailo: Unfortunately, I think you’ll find that once your loss reaches a certain point (and I believe you’re there) no HA can solve the “Speech in Noise” problem. Then you need a Phonak that can use the fantastic Roger accessories.

(You’ll have to come out of retirement and start treating piggies again!:pig:)

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#51

African swine fever (ASF) wipes out 40% of the swine population in the country. We are suffering at the mercy of wild boars! Africa to Spain to Germany to Russia to China and finally to Asia. :crying_cat_face:

#52

@dankailo: Yes, wild boars are becoming problematic on our continent, also. I won’t discuss that in the open Forum, though. It’s just too far off-base!

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#53

An ultrapower BTE will give the best chance at providing amplification at the most severe thresholds. HOWEVER, realistically, it is often the case in losses like these that the damage to the ear is such that the sound quality for amplified sounds up at that profound range is going to be poor and will not contribute to better understanding. That’s why earlier I think I indicated that the ears were likely unaidable above ~600 Hz in the right and ~1000 Hz in the left. Given that, a UP RIC may be doing okay. I would expect, with a loss like this, that lipreading support and closed captions would always be necessary. That said, I think it’s worth trying a BTE because some patients can tolerate gain in that profound range and find it helpful. One can always return to a RIC, although they would be out the cost of the earmolds and whatever fitting fees may be associated. But then they will know.

That right ear cannot be contributing that much speech recognition at this point. I think that even if one isn’t that interested in cochlear implants, it is worth going through the candidacy process because you gain a lot more information to better make an informed decision. I understand the magnitude of the decision to get a CI and yet. . . and yet. . . I’ve had five patients implanted recently all of whom have had tremendous outcomes. The main thing I see is how massively listening effort has been reduced for them.

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#54

This I totally understand. I had to wait until our countries Medicare system helped before getting CI.

You have been given good advice from many members here.

Your mid and upper frequency profound hearing loss pushes you into ultra power hearing aids. The Oticon Exceed and Phonak Naida come to mind first. My personal thoughts would be the Phonak because they have frequency lowering that reaches lower frequencies than Oticon. This may help you more than you might expect.

The aids you do get will need custom ear molds to get the most out of them.

A different fitter might be best too. To be sold on RIC aids with your hearing loss does not show best practices fitting your profound hearing loss.

Good luck with this.

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#55

Hi @Raudrive, Thanks for your kind suggestion.

I would try eBay to get an owned set of Oticon Exceed or Phonak Naida as the MORE 1 is only 6 months old. Happy to try out how gain or clarity with Ultra power HA

Stay healthy and safe.

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#56

I just wonder on these comments - As the Audi has done the audiogram but fit a MORE 3 for trial. Returned it after trying. Send an audiogram to an online HA company and they did stop me from buying MORE1. So who is right or wrong? A new Audi/fitter would be a good choice.

#57

Thanks a lot for your precious comments. I would prefer to try UP HA first before going into CI.

#58

Yeah @dankailo, been away all weekend, at a 8Ball pool tourney, I didn’t play particularly bad, twas just others played better! But that’s Pool… Well, that is a very challenging loss you have, and @Neville is the expert, so I would be very much inclined to go with his excellent advice… I do very well, with the Phonak Naida Paradise 90 Ultra Power aids, and I have dead spots, with no response above 6KHz on the right, and nothing above 2KHz on the left… I have several advantages though, I have always been aided, I am a good lip reader, I have done a few courses in lip reading, I can also use sign language BSL (British Sign Language) if need be… Lastly, I have several Roger ALD’s (Assistive Listening Devices) for example, I will digress back to my 8Ball Pool, after each pool competition, we were eating out, as the hotel we were staying at, didn’t do meals, it was basically accommodation only, so 2 nights we went to a different Indian restaurant, first night (Friday) it was a small crowd, but with a bit of fairly moderate Indian music playing in the background, usually a conversation killer for us HOH, so I plonked my Roger On down on the table between the 4 of us, and it was pristine conversation I was picking up nearly everything that was said… 2nd night (Saturday) we went to a very busy bar before the Indian, again I plonked down the Roger On, and I could follow the conversation as long as I concentrated, onto a different Indian, it was busy, usual music and folks enjoying themselves, not a problem with the Roger On whatsoever, yes I am getting visually aided through lip reading, but you cannot focus on 3 other folks lips simultaneously, but for the majority of time, I didn’t need too, I was hearing what was being said… In all truth, it’s probably the first time I have used the Roger On in more challenging listening environments over a couple of days… I was impressed how well the Roger On held up, and indeed I was very pleasantly surprised! Perhaps ALD’s is another avenue you might pursue, I am aware how expensive these are, but they can make a massive difference in acoustically challenging situations, I bought most of my Roger ALD’s via eBay second hand, so there are bargains to be had… Good Luck in your quest for better hearing @dankailo … Cheers Kev :wink:

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#59

For the past 10-15 years, lips reading was the choice in noisy environments. Never attended any courses on lips reading but learn along. We are a multi-racial country with different ethics and dialects.
Have to get Phonak Naida UP or Oticon Exceed and Roger via eBay for a start before finally committing to a new HA. Maybe in a year or two, there will be new tech for profound hearing loss!
Would try eBay -USA, UK or Australia - and start hunting.

Enjoy your billiard and Indian food. We have a lot of Indian Foods in Malaysia/Singapore. Do take a holiday is convenience.

Stays safe and healthy.

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