Why would an Ultra Power hearing aid be not enough power for a profound loss?
Getting a 90 level means nothing to do with power!
I don’t think you’re fully understanding things.
EDIT - this is the fitting range for a Phonak Sky V70 UP, can you tell me how that isn’t suitable for a profoundly deaf person???
My misinterpretation. I’m actually talking about the difference between ultra power and superpower. And that although someone with profound loss can get by with a superpower ultra power may be better suited for their needs. Sorry if I caused this thread to go off course
But my point is if you compare it to the fitting range of the up paradise you’ll see that the ultra power provides better coverage for profound loss that a super power can and may struggle to do so. But again I apologize for taking things off track. My hearing starts in an area where the sky’s coverage starts to get a little thin. I don’t just dip into the profound area I live there
I think this is an area where there is a great deal of uncertainty to be honest. In the old days there was a clear demarcation - well - a demarcation in my mind anyway, between custom hearing aids and BTE hearing aids, the latter which would normally serve either a mild up to severe loss, or a power variant - usually with the letter P for more severe loss, or a superpower/ultrapower serving severe to profound losses.
Now, with the advent of RIC - well - in the last 5 years, the receiver can be swapped out to fit losses from mild up to profound. However for severe to profound losses, the Paradise or OPN is not recommended, but the Naida and Chilli or other make, with their larger or twin receivers, and other features I would imagine, such as less prescriptive compression and more linear gain. The confusion for me is at what point in the fitting range does an audiologist start recommending superpower aids and not the one size fits all RIC. I wear both a BTE Superpower Oticon Dynamo (NHS) and KS10 - white label Phonak Paradise and I can confirm that the Oticon has a smoother and more rounder sound. I do however wear the KS10s more because of their bluetooth connectivity. However I am kicking the can down the road to a certain extent and delaying the inevitable - I will eventually get a Phonak Naida or Oticon Xceed BTE SP As @hass5744 alludes , when your loss is severe/profound you start to pay attention to the aids in that segment.
The confusion/uncertainty to me anyway is rooted of course in the fact that we are not audiologists and we tend to do a lot of self classification. I have seen some people on here declare that they have a severe loss, whereas, in fact, they have a mild to moderate loss. I have seen people declare they have a profound loss - with only their high frequencies above 4hz being lower than 90db. They then believe they need a superpower or ultrapower aid. I don’t know what the exact answer is, as a lot of manufacturers will publicise fitting ranges for an aid that turn out to be inappropriate. I have yet to see any resources on here or elsewhere that try to accurately assess whether an aids fitting range is a true reflection of what is claimed, or how to properly match a fitting range to an audiogram. Perhaps it’s common knowledge and I haven’t noticed! I know Phonak Target matches aids based on ones audiogram, so perhaps it’s always done in the fitting software.
Keep in mind also that everyone’s loss is very individual. I trialed the oticon exceed and hated them. Others with a similar loss to mine love the oticons.
Personally if I had the choice between these two hearing aids, I would lean towards the newer generation. They tend to just be a little more refined usually.
The Marvel aids are very nice and are a big jump up in hearing improvement to the older Venture aids.
You have not mentioned your hearing loss or if the aids mentioned are the Audeo RIC aids or what.
Interesting discussion!
But as I have understood is the number 90 about functions not power.
As I said in the tread start I get my HA:s for free but I can only choose HA:s in the procured range that is in my region elsewise I need too pay a fee for them by myself.
That´s why I can’t choose the one I want that is P90-312 only P90-R that I think is too, big and therefore maybe go with the M90-312. Or is it worth to pay a fee to get the P90-312, is the difference between those in form of sound quality that big?
My dad has Oticon Opn and love them and he think I would go for Oticon, I had tried Oticon 2017 (it wasn’t the Opn, I think it was an Alta?) and didn’t like them at that time because of the sound was tinny. Don’t know how the sound-algoritm has developed since then to the More?
@Raudrive - I have an audiogram in my profile, I would say my hearing loss is moderate, in some frequencies it’s mild and some it’s more severe (thanks Zebras for notice and correct this 
) . The aids I wear and look at is RICs.
You’ve got one frequency in the severe range, the rest of it, is in the moderately severe range. No frequencies are in the profound range.
I would pay a fee to get the P90 in the battery you want.
@Zebras - Thanks for the advice!
The problem for me is that it´s hard to test different HAs before I decide which I will go for, therefore I feel I have 1000 questions. Often the audiologist want us to have the first they order for us and are not so willing to let us test other brands and when I was there she was sooo stressed that I couldn’t ask everything I wanted.
Doesn’t sound like an idea situation to be in.
Hopefully you’ll have a good audiologist who is willing to help you.
You should find another audiologist. I’m beginning to realize that I’m very fortunate that my audiologist will let me test every hearing aid ever invented if I so desire. He actually encourages me to trial more then one. If I haven’t learned anything from this is that when I trial power aids every aid I try sounds different to me for one reason or another. There’s no way anyone can convince me after all these years that the one aid the audiologist picks out for me is the one I’ll do best with. At the same time my audiologist wants to hear my feedback regarding the aid I just trialed because he understands that every loss is an individual thing and there’s no way he can ever really know which aid is going to be best. At most based on the tests conducted he can direct me towards a sp or up aid but not which one. I consider myself very fortunate to have the Audi I have. If your Audi only tries to sell you one particular aid and gets stressed out when you ask questions I would go elsewhere. Keep in mind my loss is probably an audiologist nightmare. But I do know that he allows other patients to trial aids for weeks at a time. So that policy is not unique to me. Oh and he doesn’t charge me for trialing aids. When all is said and done when it’s time to buy the aids the price he charges is pretty much what I see everyone else is being charged. That last part is for the naysayers. Ps. I have seen other Audis who I thought were jerks and walked away from
Also, Marvels did not honor my “Do Not Disturb” on Samsung Note. Paradise does. Both good HA’s, Paradise is better.
“Better” tends to be in the eye of the beholder.
Just have to chime in on hearing aid size. I have worn Resound RIC 312 aids for about 8 years. Aids are BRIGHT RED and my hair is very short - - almost boy cut in back. And about 8 time out of 10 when hearing aids are mentioned and I say something about my aids, folks mouths drop open and are astonished that I am wearing hearing aids!!! I think 9 out of 10 people never see behind the ear aids!!!
very interesting situation! I went for bigger size 13 batteries because the aid is only negligibly larger than the 312 but the batteries hold quite a lot more energy. It was going to cost me the same either way. My memory is fuzzy, but I think it was on the order of 50% more I can easily get a week from a set of batteries.
So
on one hand…I’ve not read about anyone with rechargeable having problems getting through a day…but in my thinking you’d always have to be prepared to either go a few hours without aids if you’re out and they die… AND you’d have to be prepared to always travel with a charger if you travel a lot or stay in multiple places…but otherwise rechargeable seem like they work just fine.
(but that’s why iI chose against rechargeable
or on the other hand… just based on my experience (which means not much for you), I’d suppose I’d get perhaps 3 or maybe 4 days from a set of 312 batteries… not bad.
As far as features…I’m not familiar with paradise, but while I absolutely love my Marvel aids I do find it annoying that they won’t connect to two devices. I of course connect them to my phone…and almost daily I use external over the ear headphones with my computer because it was too much of a pain in the neck to disconnect the phone…connect the computer…remember to reconnect the phone…etc…
BBecauseof tthis I’d probably go for the newer Paradise
Regardless…I find the automatic program switching of these things to be wonderful.
I recon…especially for the price… you could hardly go wrong with either choice!
I have the P90 and am very happy with it.
The charging is easy. Put them in ears (charged) in morning, place them in charger when you go to sleep.
They last all day. The charge takes an hour or two.
Knowing myself I would either forget to put them on the charger or after a while find it annoying. I find it much easier to carry around a spare set if batteries and then just swap them out every couple of weeks. But that’s me
I went from Phonak Marvels with 312s to Paradise p90Rs and would never wish to go back to 312s. There was always the worry with batteries that they’d give out at some inconvenient time so on such days, I’d need to put in fresh batteries at the start of the day just to be sure - then I’d be left with two sets of batteries with still some charge left in them. No such problem with my rechargeables. I take my P90Rs out of the charger when I rise at 6:30 am and they last through to my bedtime (10:30 pm) with quite heavy use of Bluetooth during the day.
I got an in-the-ear hearing aid back in 2006 because I have otosclerosis. It was visible, but I had hair to cover it. I was not happy about getting the hearing aid and going to work. BUT NOW everybody young and old is wearing something in their ear so I no longer care! I like the different color choices. I predict that the future of cell phones will be ear phones. I can already answer and end calls with my Paradise P70 rechargeable. Why should I carry a phone around? Then we can use notebooks for other stuff.
I don’t think the higher technology levels mean more gain. They mean more features, more channels, and possibly better algorithms.
