I believe that setup is key.
For me that means finding a good audiologist; for others, it’s self programming.
My current audiologist is amazing. He’s dedicated and has resolved real problems for me. It’s taken a while to get results I need.
My last session was an ah-ha moment. My hearing aids work now.
@tenkan thanks so much. That’s very helpful
I understand that’s your experience. My last audiologist was…well, I won’t rant. Fired them. (when they sold out to Sonova in Canada) Their experience with their setup on the new hearing aids they sold me was like yours.
Have you tried experimenting with the app for your hearing aids?
DaveL
I believe this is the key line of your posts!
Your brain will not learn to use them if you don’t wear the HA’s.
You could accomplish this with a pair of cheep bluetooth ear buds and saved a lot of money.
Yes, it’s a common failing of aids if you want to put it that way. The technology isn’t there yet. Lots of discussion about speech in noise on this forum. Some people use accessory mics.
Interesting comments. Thanks to all. If you were able to get your aids to work to your satisfaction, congratulations! More power to you. I think I wear my aids enough for my brain to adjust. When I wear them to stream TV, I often forget they are there and have to get out of bed to put them up. Their performance in noise has lead me to not wear them more often, because I know they will just complicate matters. I just don’t think they have what it takes to solve the noise problem. Maybe someday.
Hi John,
I looked at your audiogram.Your hearing loss is more severe than mine.
I feel completely dependent on my hearing aids. I wear them all day everyday. 
I think that the process is flawed. I’m lucky I have a great audiologist. My last audi wasn’t good at all. Their hearing aids didn’t work at all.
Dave
Likely that you have, but have you tried different fitting formulas?
For me, NAL 1 has a massive difference with background noise. This is just me tho.
Thanks Zebras!
DAveL
I’ve worn aids for some 20 years. I find only marginal improvements between aids in noisy environments. It’s just a very challenging environment for technology to try to replicate what the brain does so well. An external directional microphone seems the only real solution in these environments, but that will only help here one speaker.
Maybe custom molds might improve your ability to hear even more. They have helped me and I started out with various domes. Plus I am so glad I never have to fumble around trying to change the filters which was always a stressful experience because a few times I lost them when they fell onto the floor. Incredibly, I did find them eventually but in the meantime it made life difficult because I had just moved here, knew no one and didn’t yet have an audiologist.
I really can’t imagine what Phonak was thinking when they decided on the method and device needed to change filters and I don’t think I’m the only one who feels the same.
I agree.
I’ve complained about the wax guards. My audiologist phoned Phonak Canada during one of my visits. The person on the line said they had no complaints. I can’t hear the “klicks” when I use the container. I can’t see the little wax guards And when I have to dig one out because the wax guard is off centre I swear a lot.
The new wax guards don’t suit me. I’m old. Thisis my third pair of Phonaks Must have been designed by a young person with good eyesight.
Did you ask for the SlimTip moulds?
They come with Cerustop-filters. Much easier to change.
Just googled them. Slim Tip Moulds I’ll take a look
DaveL
That’s how they are replaced:
Maybe I missed it but did your audiologist reprogram the Paradise you got from the VA or has only the VA programmed them?
I’m particularly interested in your experience because the Paradise 90R is one of two I am considering and my biggest problem is speech understanding and clarity. So if you’ve had them tuned by an audiologist in addition to the VA (which I think you said is reluctant to reprogram them after initial fitting) then that’s a huge consideration.
Does the VA do real ear measurements? Maybe that might help if they’ve not done so?
I can’t see your hearing loss, but am I misremembering. . . Aren’t you in super power BTE territory?
If your comment is to me I’m not sure exactly what comprises Super Power BTE?
For example, The Phonak Naida or the Resound Enzo. A behind the ear power hearing aid with a soft silicone earmold.
What I’m in the market for according to audiologist is either the Resound Enzo Q 988
Or in Phonak - the choices are Naida Paradise, Audeo Paradise and the Audeo Lumity.
I think Ive decided against the Naida so it’s the Paradise or Lumity.
What I have right now is low level Audeo Marvel 30 which is troubling to discover it’s lowest tier because I specifically remember telling the audiologist that I wanted mid level, not lowest and not highest but turns out that’s what I have is the 30s / lowest technology.
The Phonak device that matches the Enzo is the Naida, whether it be Marvel or Paradise chip. The Lumities are only available in a RIC style.