Happy Wednesday! I just got back from my audiologist’s office for my one week follow-up appointment, and feel somewhat bad for her, as I marched in with a typed, highly detailed set of instructions on changes that I wanted to make, and basically gave her no say-so in the matter Kidding aside, she was extremely gracious and agreed with every one of @Volusiano’s suggestions, even asking me at one point if I’d consulted with another audiologist
Although it’s far too soon to tell how effective the changes were, I’ll outline them as best I can, for anyone else who might encounter similar issues with a new pair of Oticon Intent hearing aids. I addressed the following questions with her, and will put the answers and any changes below each one:
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What is the NNS (Neural Noise Suppression) set to? (max is 12)
- The original software suggested settings had me at 4 (Easy) and 10 (Difficult) for NNS. I was surprised by this, as ithat is nearing max capacity, and I’d already had so many issues with background noise with those settings. She kept me at these settings, and then created another program (P2) for me to use in noisy settings with both NNS settings maxed out. She also set the microphones forward-facing.
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Can we add a Speech-in-Noise program with max NNS?
- As noted above, she created another program (P2) for me to use in noisy settings with both NNS settings maxed out. She did not use a pre-set “Speech-in-Noise” program, but just copied my P1 program and increased both NNS values to 6 (Easy) and 12 (Difficult) (they are 4 and 10 in P1). She also set the microphones forward-facing. I believe she also increased the Soft Sound Perception another notch for P2.
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What fitting algorithm do I have?
- I have VAC, which is the Oticon proprietary software. At my next appointment, she will add another program for the DSLv5 algorithm. She agreed that the DSLv5 can be better for speech. She was reluctant about adding the NAL-NL2 algorithm as another program, as she said that is the software she tends to use for new hearing aid users, and did not see much benefit for me.
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What can be changed to enable me to hear soft women’s voices better?
- She set the Soft Sound Perception to Detail. (Not sure if she did any fine tuning to increase dB beyond that)
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Other changes: She also added the Speech Rescue frequency lowering feature, and increased the Sudden Sound Stabilizer to soften sudden loud noises.
Immediately after the appointment, I went to the grocery store, then to pick up medicine for my cat at the vet’s office. At the grocery store, I had a very soft-spoken cashier at the register, but still heard at least 80% of what she said, a marked improvement over last week! And I had no issues at the vet’s office. Although it’s too soon to tell how well these changes have helped, I’m hopeful! I’ll report back once I’ve been to a busy restaurant and tried to have a conversation with my fiancé’s mumbly teenaged sons
Oh! And she also increased some sort of Whisper setting, which should help me to hear whispers/soft sounds better. Volusiano might know more details about this particular setting, it was totally new to me.