The Forum’s advice on this topic has been very helpful. I am quite pleased with my trial of Phonak Naida Lumity BTE SP. Before I purchase, however, I would like to consider the same aids in UP. I know that is a little more power than I need right now, but is there any disadvantage? Physical size of the hearing aids is not an issue. I wear full shell molds and standard tubes. Thanks so much. //Steve
But wouldn’t RIC with power receivers be suitable for your loss even?
I’m no expert but I’m surprised you’re going with BTE…
You’re posted audiogram is outside the fitting range of the UP (at 1000 Hz) I’m unsure of the significance of that. Possible issues might be floor noise and distortion.
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I would think more about PR than UP, depending on your needs. It is good to know that UP may have a reduced frequency response, which could unnecessarily be detrimental to you, IIRC, to a maximum of 4700 Hz.
You should check technical papers on the Phonak website for professionals.
The main disadvantages of UP versus SP is a larger size due to the 675 battery, and high frequency range is more limited. Size 675 batteries do tend to have more life than size 13 batteries, but audiometrically you are not a candidate for UP devices. What your concerns/reservations about SP?
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SoundRecover takes input above a given frequency and tunes it down to a more audible frequency. What this means is for instance if someone cannot hear 4000 Hz but can hear 2000 Hz, SR can be activated to take input read at 4000 Hz and reproduce it at 2000 Hz. Technically this gives the user access to sounds entering the hearing aid at higher frequencies, but it is not the same as the person being able to hear all those frequencies AT those frequencies. The frequency response we’re talking about has less to do with input range and more to do with what the receiver/speaker can reliably produce.
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Personally, I prefer BTE, they sit on my ears in a solid manner. I find RIC wobble about while trying to long press etc. I’m also not keen on the stories of failed receivers.
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I briefly had some Naida Paradise P30 UP, and now mostly use Naida Lumity L90 SP. I found, with the UP that the MPO range was much lower in the higher frequencies. Obviously this may differ for you. I’ll try and find some screenshots.
Peter
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Have you ever tried receivers with shorter wires? With “2” length RICs were annoyingly wobbly, but with “0” length, they are perfect.
Great screens. 30 dB SPL gain at 6000 Hz vs. ~38 dB - MUCH difference to get proper “s” sound hearing.
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They would have pulled on my slimtips. My Audiologist took the measurements. They fit snuggly along the front of my ear, bit the wires are this and the Audeo P90 13Ts are very small. I just prefer tubes to wires.
Yes this is very true.
Oticon seem much more powerful in the higher range compared to Phonak Nadia Paradise UP.
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I thought that UP is moar powerful than SP, and have moar high frequency range depending the tech level 30 50 70 90!!!
Comparing UP 30 to SP 90 isn’t a like for like!!!
Have a look at Target. You’ll find there is no difference to the reduced gain in the highs with all Phonak Nadia Paradise / Lumity UP range. Doesn’t matter if it’s a 30 or 90!!
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I agree.
My Oticon Xceed only amplify up to 4000 htz as I have Speech Rescue turned on and high frequency bands turned off. No hearing left to really benefit from them anymore.
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Despite being a Phonak user for over 10 years, regaining proper high-frequency amplification with Oticon could motivate a manufacturer change.
I have better than 3000 Hz amplification with Sphere compared to Paradise (both with P receiver), and I definitely hear the difference (for the better).
I will wait for Naida or the new Oticon to test their high-frequency amplification in the future…
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Up until around 2 years ago, I’ve worn Phonak my whole life. Analog then digital. Until I lost my remaining hearing, I much preferred Oticon as a whole.
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Thanks for all the great suggestions. Since I have the worst loss in the high frequencies, maybe UP is not the best choice. I’ll ask my audio what she thinks about the high frequency issue.
I’m leaning toward Phonak because I have read so much about the Roger Go. I’m hoping that will help in noisy restaurant situations, which are impossible for me.
I’ve had RICs in the past, which theoretically are better for high frequency loss. But I have always found the sound fuller and more distinct with BTEs and good vented molds. Feedback has never been a problem for me, although maybe I don’t hear it (my wife sometimes complains about hearing aid whistling when they are out of my ears).
//Steve
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It depends on whether you have dead regions. In that case, amplified sounds can be distorted and detrimental to speech understanding. There are tests for cochlear dead regions, but you should take them with a grain of salt.
In my case, more gain in the 4000–8000 Hz range is beneficial; SoundRecover 2 is detrimental.
If you frequently have feedback that means you are inappropriately fitted, it does not matter whether whistling is disturbing you. Unnecessarily activated WhistleBlock (active feedback cancellation) slightly distort your sound perception.
You should also test different fitting formulas; NAL-NL2 might be better due to less reliance on the highest frequencies. I may be wrong here