Suggestions for BTE profound loss aids

Need reccomendations for good quality BTE aids for severe to profound. Just got the Oticon Chili 7, and VERY disappointed in them. Music sounds like a transistor radio I listened to 50 years ago! Need to trade them in for another aid that has power plus excellent sound quality. And not too expensive. Am I asking for too much?
THanks for any help!

Starkey just launched their very impressive power plus. It combines the best in class feedback suppression, with a monster gain of 80dB. It has a very clean and natural sound, and plenty of power.

http://starkeypro.com/public/professionals/products/hearing-aids/x-series/power-plus-bte.jsp

They offer it in three flavors, which is basically their best and most expensive technology, the next one down, and the one below that. The build quality is the same on all, and they look the same, but as you step down to the lower priced units you lose some channels and some features. The entry level one has 8 channels, the next has 12, the top has 16. As you step up in price, you get better speech hearing in noise.

I have met some pretty severe cases since I got a test set of these, and even with soft foam disposable tips the sound quality was amazing.

I really do believe this is the best power aid out there at this time.

You might just need some adjustments and time for your brain to get used to the new sounds.

The resound Alera (Future at Costco) has good music sound but at first I thought they sounded tinny or electronic. Now they sound great.

Try Phonak naida aids if you have speech discrimination problems or very high high frequency loss.

Peter,
Did your Audi set up your Chili 7’s with a music program? My standard program makes music sound flat but if I change to the music program it adds more bass and the music sounds much better. Good luck.

Hi all!
There are someone on this forum that were able to talk me about a good,no noise,no feedback,quality sound hearing aid for a 120 dB hearing loss sufferer?
Thank you in advance!
Marco

I’ve recently tried the Widex Real RE 19s, Siemens Nitro 300s and Phonak Naida UP 3s for the profound loss in my right ear. I think the Phonak were the best, but what I heard wasn’t really a set of distinct sounds, but rather a feeling, a buzzing in the side of my head where sounds would be. I certainly couldn’t hear voices or words, just an occasional buzz buzz. Is there any point to spending thousands and wearing a huge device on my ear if that’s all I’m going to get? Is my loss just unaidable? For those of you who have profound losses, what do you gain from your hearing aids? Thanks for your advice.

@rashkolnikov, I am wearing Naida V UP on my left ear and I would say that it can substantially help me in understanding speech in quiet environment considering that I have a greater hearing loss than yours. Maybe you need to ask your audi for fine tuning so you can maximize you Naida :slight_smile: HTH

What are your speech discrimination scores off your audiogram? For patients, regardless of severity of loss, who have little to no speech understanding there isn’t much to justify a hearing aid over on that side unless the patient just wants it for balanced sound. Sometimes aiding someone with two hearing aids, even though one ear doesn’t have much/any speech understanding, provides some additional input that the brain is able to make sense of and it improves their ability to understand speech.

If you have a profound loss and hearing aids are little-no benefit, it’s time to start looking at a Cochlear Implant.

@docaudio, i agree with you :slight_smile: it does provide some balance and important cues in understanding speech compared to not wearing one at all.

I have had patients give the same reaction to the Oticon Chili. I was disapointed having fit many Oticon Sumo’s over the years. The Starkey X series Power Plus has worked very well for my patients since it came out. It is available is several price points, even entry level. Great for profound losses.

@nc2kids, perhaps my perception of its efficacy is distorted by the fact that I can still hear quite a bit with my left ear aided. If or when both ears have a profound loss, I can imagine that any perception of sound, the buzzing that I felt, could indeed help lip reading and gathering the gist of what’s said and especially help in retaining my speaking ability, and that with proper adjustments and experience, one could improve the level of comprehension. My right and left ears’ hearing was equal until one day, suddenly, it dropped 30 or 40 decibels or more. I expect that the hearing in my left ear may gradually worsen, as it has been, or suddenly disappear in the same way, therefore I’m very grateful for your input.

@doc audio, I don’t know what my speech discrimination scores are. Of the many audiograms I have received form various hospitals and audiologists, I have never had anyone talk to me about speech discrimination, and I don’t know how it is tested. Sorry. I do know that if I plug my left ear, I can’t hear a thing with my right.

As for a cochlear implant, I don’t know how I would afford one, but assuming there are ways to finance it, I would want to know what can be expected. I’ve heard some rather vague anecdotes and I’m aware that results vary among different patients, and I’ve looked at information on this and other sites and forums, but I would love to have something resembling a conversation, via online chat or email, with someone who actually has one. Do you have any recommendations. Again thanks for your input and I’m sorry for not checking this forum more often recently.

Speech testing is generally a standard part of a complete audiological diagnostic evaluation. You would have repeated the clinician various one and two-syllable words of different intensities which would give a speech score. It’s an important part of a test…you can have someone with profound loss and amazing speech/word recognition - these people would generally do well with amplification, or people with moderate losses and horrible speech/word recognition would would not be expected to do as well.

A Cochlear Implant is not a hearing aid, it is considered a prosthetic and therefore usually covered by insurance…so you don’t pay anything other than standard deductibles or other fees your insurance would charge. If you go here it should take you to a site where you can type in your location and it will give you a local provider for Cochlear implants. Often times these clinics will have lists of people who have received CI’s and are willing to talk to potential CI implantees about their experiences. The provider closes to you will be able to give you very specific information about what’s involved and tell you if you are even a candidate.

That is interesting…I have been using the Phonak Naida for my severe to profound loss and found the speech discrim to be pretty good and the music program to be great. I am now demo-ing the ReSound Alera and its the opposite. Speech discrim is better but I cannot get the music program anywhere near as full and resonant as the Naida.

I should add I have been wearing hearing aid(s) for over 40 years and am a serious musician.

My audie is pretty darn good but is it possible that the Alera just needs more music program tweaking? Its just not deep enough, too tinny.

Any advice warmly welcomed…BTW, first post!

Thx

I have the Resound Future (Costco’s version of the Alera) and I get good results listening to music. Everything is adjustable.

I’m laughing, only because my audiogram bottoms out at 120 and a no-feedback HA would be manna from heaven! I’m trialing the Naidas soon, and they get recommended a lot for feedback control and noise suppression, but we shall see. They seem to work well for high-frequency loss.

Have you worn HAs before? No HA will sound “natural” if you haven’t, but some have more features and the ability to program out the things that are bothersome. With the better digitals, a lot can be programmed. Try out different brands, such as Naidas. The “sound” is sometimes different depending on the person.

Speech discrimination; Ugh! This is why we need to be educated. It’s a standard part of audi testing, and there are other tests, like REM, that can be done to help with adjustment, but often aren’t, because audiology providers won’t even tell you about it if they don’t have the equipment. You are not being served very well.

CIs: CIs do have a strong success rate with late-deafened individuals, but I thought the consensus with adults was to try HAs first. Someone chime in if I’m wrong. The reason I mention this is that CIs aren’t exactly a reversable procedure, and in adults, the success rate varies. They require adaptation. Sorry if I’m too strong here, but it chafes me when someone says “My HAs aren’t working well” and the response is to get CIs instead.

Sorry to be so late in getting back to this thread, but I was just thinking about it again tonight. Hope some are still following.

[quote=DeafKD;74024]Have you worn HAs before? No HA will sound “natural” if you haven’t, but some have more features and the ability to program out the things that are bothersome. With the better digitals, a lot can be programmed. Try out different brands, such as Naidas. The “sound” is sometimes different depending on the person.

Yup. I had been wearing a pair of Siemens Life 700’s for my moderate hearing loss for the last few years. Then my right ear suddenly lost 30-40 decibels across the board one day. So I tried some power aids on that ear as I said above. It’s hard for me to communicate with the audis here because I’m in Japan, but all I get from those aides is a ‘buzz buzz.’ So I gave up for the time being, just getting by on the left ear aided with the Siemens, though of course I have problems.

As for Speech Discrimination testing, please correct me if I’m wrong, but no audi or ENT has ever done this for me and after Doc Audio’s explanation above, I can see why no one bothered. Many people here say it’s a standard part of the test, but the result is that either you’ve got poor speech discrimination and you shouldn’t expect much improvement from adjustment, or you’ve got good speech discrimination and let’s try to bring up your lowest frequencies. Oh! So my audis have been like, “let’s just make the adjustment and see how she goes.” And rightly so. No need to waste my time and money on a Speech Discrimination test. Furthermore, according to Doc Audio:

“you can have someone with profound loss and amazing speech/word recognition - these people would generally do well with amplification, or people with moderate losses and horrible speech/word recognition would would not be expected to do as well.”

So one ear that’s dozen of decibels lower than another ear across the board can discriminate speech better? Does this Speech Discrimination test also involve crystal balls and incantations in arcane tongues? I’m joking, but do statements like this not make audiology sound like some kind of pseudo science? I must be mistaken. Please correct me as I want to understand.