Sigh! It is as if we can’t get one good package. I am really hoping that Phonak has better frequency range in their latest model. I will be trying Resound, Oticon, and Phonak UP hearing aids and then decide which ones sound better. The only negative I can think of is that the audiologist may get fed up with me for having to adjust all 3 devices for me to try out.
I’ve been told the frequency range increases if you activate Sound Recover.
I wear Phonak Naida Q90.
SoundRecover just moves sounds from high frequencies, but it cannot restore lost frequencies
Welcome to the forum.
Posting your audiogram could help us help you.
Thank you, friend! I’ve learned a lot already by the comments @Lostdeaf left. I started wearing hearing aids since I was 5 years old and it seems that even after trying many devices, I still have a lot to learn. Glad to have found this community. You can see my Audiogram attached, it looks really bad so UP devices are the only option I have. I didn’t want to go for implants due to infection/risks and getting locked down to one provider, and most importantly trusting that hearing aids will continue to improve as they have in the past.
Thanks for the audiogram. If you want to enter it into your avatar here is a thread from the admin.
Please take the information you get from members with a grain of salt. Some are incorrect.
For what it’s worth, you don’t need to add gain to frequencies you can not hear at. If you have dead frequencies you don’t need to put gain there, period. You may be able to use less powerful aids when you look at it that way.
I see, so according to my audiogram, the last two frequencies, 4K and 8K are dead frequencies? Or are they so less that perhaps UP hearing aid may be able to pick up a bit and amplify the sound? I am using Siemens Nitro 701 SP hearing aids right now and not very happy with them. I think they have declined in quality after over 5 years of usage.
You should definitely take my comments with a grain of salt, but I think you have a “mixed loss,” involving a conductive component. This has implications for how much gain is needed. I’m basing this opinion on a notable difference between your bone conduction and air conduction readings.
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And possibly 3000 hertz. Your audiogram could use more detail.
Yes, why put gain in areas you can not hear.
I am not familiar with your aids. Do they have frequency lowering?
My hearing is gone in the upper frequencies. I use Phonak Audeo B90 aids right now with aggressive Sound Recover 2 settings. I can hear things I have not heard in many years. My lower frequencies are better than yours so that makes a difference in needed gain.
As MDB has stated, conductive loss could be much of the issue. Zebras is very familiar with this type loss.
Very interesting insights from you and @MDB! I want to take advantage of the 2K and 3K frequencies because I can hear very faint sounds in these frequencies and I think just disable other higher frequencies since they look dead based on your suggestions. Both Audeo B and Audeo Marvel comes with UP receiver but the max dB it goes till is 100 so it’s useless for me. I need a UP hearing aid that goes till 120 or perhaps even a bit more so I can take full advantage of amplifying 2K and 3K frequencies. Until I wait for Phonak to release their latest version of Naida, are there any other hearing aids available right now suitable for me which have direct Bluetooth connectivity?
Interesting tidbit, I noticed that I can hear men better than women, no wonder it’s because my high frequencies are weak and women have higher frequencies when they speak. 
Your description of women and men voices Leads me to believe that frequency lowering would definitely help you from what you are saying.
I hope some of the pros jump in on this. They give great help.
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Those frequencies are probably dead but Phonak has a good technology of transporting sounds from higher frequencies to lower frequencies. I don’t know how Oticon operates that but has something similar and effective.
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This is good to know! Thank you and @Raudrive you too! I have just one question related to transporting sounds from higher frequencies to lower frequencies - is this something we can do ourselves using an app? Or is it something an audiologist does? I was watching this video on Real Ear Measurement and I realized that no audiologist in Pakistan ever did this despite changing hearing aids 5 times in my life. This means I have been wearing hearing aids without the full potential to hear. This means most audiologists are incompetent over here. I may be visiting the US again soon, this time to Maryland. Are there any good audiologists on the East side of the US? Or should I pay a visit to Dr. Cliff of Applied Hearing Solutions all the way to Arizona?
@TallRobocop & @MDB Just FYI, that is NOT a mixed loss - most of those responses for bone conduction have the arrow pointing away, which means there was no response at that level. With this degree of loss, a bone conduction response at 500 Hz and no other frequencies may be vibrotactile, meaning it was felt and not necessarily heard.
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Thank you! I know enough to know that there is a lot I don’t know. I also know that when bone conduction info is included it shouldn’t be ignored and my natural tendency is to just pay attention to air conduction. So by arrows pointing away, it’s a way of saying bone conduction was done, but we stopped here?
It’s not always straightforward the down away arrows mean that they went as loud as the equipment will go. Bone conduction can’t go as loud as air conduction, so for people with more severe/profound hearing loss, it will look like they have that gap because the bone transducer just can’t go loud enough. (Again, responses can be vibrotactile at elevated levels, too.)
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That was very informative @speedy. Thanks, I learned something new. Glad I joined this forum. I noticed your tag says “Registered provider” and you’re from the US, do you have your own Audiology center? If yes, please read my last comment above, any suggestions/comments on that?
Just because an audiologist hasn’t used REM doesn’t mean they have not set your aids up properly for you. REM is a great fitting tool to get the fit started.
A pro stepped, in and gave you great advice. Thanks Speedy.
The problem with visiting somewhere and buying hearing aids is the ability to get the needed additional appointments to properly tune the aids. Your profound loss would need that in my opinion.
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Frequency transposition (moving sounds around) can only be done in the programming software, at least with the manufacturers I work with.
I work in a pediatric hospital, but I do have some patients who are adults. We always do real ear here (especially working with kids) - there’s no other guaranteed way to make sure the aids are set how they are supposed to be! I wonder if it may be related to equipment availability in Pakistan (more likely an education issue), but it is the gold standard to verify hearing aid output this way.
There are TONS of audiologists that use it in the United States, so as long as you find a provider that does real ear measures you should be fine! I know that Dr. Olson has gotten lots of traffic due to his videos so I don’t think it would be easy to get in to see him, plus the east and west sides of the United States are pretty far apart, so I’m sure you could find someone much closer who can do excellent work for you.
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You’re right. This is the only concern I have. I will be checking other audiologists here locally to see if they do REM test. The reason I am gravitating towards Phonak is because the audiologists here are authorized partners so I am hoping they do a good job with fitting.
Thanks @speedy, your input has been valuable.
By the way, I wrote to Phonak asking them when the new model of Naida with Bluetooth connectivity will release and they sent the following reply:
Thank you for taking the time to contact Phonak with your inquiry.
Phonak does not have a Naida model that is like the Marvel at the moment.
The technology to make a Naida like the Marvel is not there at the time.
It is still in development and we do not know when there will be a release date.
Phonak wants to make sure the product is a high quality hearing aid before releasing it for purchase.
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