When I asked about the need for REM of two people -in the HA fitting and sales end of things-especially with my Tinnitus, the response I get is the technology is advanced that REM is no longer necessary.
Has anyone done a REM that had tinnuitis and notice a difference afterwards doing a REM?
Interesting, I’ve not heard of anyone on the forum mention this, tinnitus isn’t a fitting formula so I don’t think REM is done for the tinnitus controller.
That’s just flannel; they ‘should’ have the option of using REM specifically with the Spheric Mode engaged to see if it’s reaching a target like Live Speech Mapping, while playing you a background noise source and engaging you in a Q&A.
so there is no confusion the REM is not a fitting formula for tinnuitis. Here is what I found using an ai chat. But ai is not alway right which is why I posted.
Real ear measurements (REM) are extremely important - they’re considered the gold standard for hearing aid fitting. Here’s why:
Critical Importance:
Red Flag: If an audiologist doesn’t offer REM or suggests it’s not necessary, consider finding one who does. It’s that important for optimal fitting.
here are the specifics based on my audiogram:
For your specific audiogram, here are the key REM measurements they should verify:
That’s where your AI isn’t as clever as it thinks (actually there’s more, but anyway).
If you have the REAR and a meaningful speech target, that’s a summation measurement of the response including the performance of the hearing aid: so the UG and IG are integrated parts of the whole SPL (REAR) output.
Thanks for pointing out the specific measurements. Those measurements came from ai. So if I didn’t misunderstand you are emphazing the importance of REM and these specific measurements?
Simple statement: it is a best practice. (For a reason). If you can’t get it for some reason (no HCPs in your country use it, or you are really limited to being remote because bed-ridden, etc) then good fitters can get you pretty close but it may be a more iterative process. My first fitting was done with REM and just worked. We did some stuff to add a program for tinnitus masking as a trial which I dropped later when I went with receivers incompatible with the tinnitus masking program. But the initial fitting wasn’t changed until I had another set of testing done.
I’d say get REM done if you can.
WH
From what I can see from the Target 10 documentation, Tinnitus Balance is a separate Global Tuning step.
My experience with my KS9s fitted at Costco, was that the second fitting (different technician) that used REM was way superior to my initial fitting without it.
Yes, REM has importance in fitting verification.
The AI doesn’t ’know’ what it’s trying to explain, but is using many arguments to justify its reasoning.
Proper REM ‘only’ needs to measure the output of the hearing aid at the eardrum (REAR) and show that on the screen. You keep the manufacturer’s software window open at the same time and adjust the aid and observe the change on screen.
