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Thread: Important factors in hearing aid satisfaction

  1. #11

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    The HIS does not believe in nor do walk around evaluations so I will likely need to purchase another HA to try. I plan to stick with these for a while, at least until after my next appointment and hopefully I will get some meaningful adjustments. My wife says that I am becoming more combative and ornery since I started wearing HA's, she is probably right. Too many sounds hitting my brain. I actually like the peace and quiet I get by removing them, but I keep them in at least 10 hours per day. I would like to add to MDB's OP, how many users like their HA's because of the ability to adjust using different programs.
    250 500 750 1K 1.5K 2K 3K 4K 6K 8K
    R 55 50 55 55 60 65 85 85 80 70 SRT 60 WRS 84%@85 dB
    L 60 60 60 70 75 65 65 75 70 65 SRT 70 WRS 88%@85 dB

    Phonak Brio II 312T
    ComPilot II Air

  2. #12

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    As easily seen on these forum new users expect perfection instantly and aren't willing to put in the time and effort to get things dialed in. If I knew I was going to compare say the Cala and the KS7 I would go to the Resound and Signia sites and get familiar with options and buzz words. Go to the Pro sides of the sites. Look over the user manuals. Then head over to Audiology Online and take a look at the software. KISS go with the default/auto program and telecoil if you use landline phone. Keep a detailed journal of the good and bad. New users need to use the volume control.
    Last edited by Doc Jake; 02-24-2017 at 03:33 PM.

  3. #13
    Join Date
    Nov 2016
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    Central California
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    Interesting that Japan's is so low. Any info on why? Something about the language? about how people speak?

    Quote Originally Posted by seb View Post
    If you look at the studies, HA satisfaction varies from country to country with the low being 36% being satisfied in Japan to a high of 84% in Switzerland, the US comes in at 76%. When all tabulated the number of people who are satisfied with their HA's are somewhere in the 70% range.
    .25 .5 1 1.5 2 3.0 4.0 6.0 8.0

    15 15 20 30 30 55 75 90 NR ​KS7
    10 10 20 15 25 35 65 85 95 WRS 100/92@45/40

  4. #14
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    Regarding additional programs. I think it depends. My Mom has Phonak B50s with just the auto program. She wears them 14 hrs a day without an issue. She doesn't need any other programs. If you have special situations where the auto program doesn't work, then I'd look into adding programs.
    .25 .5 1 1.5 2 3.0 4.0 6.0 8.0

    15 15 20 30 30 55 75 90 NR ​KS7
    10 10 20 15 25 35 65 85 95 WRS 100/92@45/40

  5. Default

    I'm new to HA's, and agree with all the points Volusiano made. My own main frustration so far is the difficulty of working through the Audi, as he said.

    My reaction so far is that the HA industry in general hasn't bothered to come up with any way to evaluate the end result of their work! The fitting formulas they rely on only get you close, and with many but not all users. They cannot take into account all the fine details. Hearing and hearing loss is just too complex. I don't claim it would be easy, but without a way to check the end result after fitting it's really just guesswork. "Try this and see how you like it See you in 3 weeks!" Guess I'm just not as patient as I need to be. I also have no doubt that being able to make changes myself would speed things up tremendously. Since the Audi can't exactly follow me around all day, I need to do the fine tweaking. At present, I really believe I know more about my own needs than the Audi does. After all, I live with it full time, 24-7!
    Freq 250 500 1K 2K 4K 8K
    Right -15 -35 -50 -60 -60 -90
    Left -20 -40 -60 -55 -65 -75

  6. #16

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    Adding my own 2-cents' worth here - or maybe it should be worth 30-cents, considering that's how many years I've worn aids! Being just 31 and SO deaf when I got my first pair, I took to them like a duck to water! My first pair were Starkeys, and the volume control was a wheel that I could adjust up or down independently in either ear. There was also a tiny screw-adjusted button set flush with the hard case that my aud-guy said I could move clockwise or counterclockwise to adjust the overall gain (I think - but it's been decades!). Crude as they were, I NEEDED them.

    Flash forward 30 years, and I've tried a handful of brands (Phonak, AGX, Oticon) - all hard case ITE model. Until December, when I trialed and bought the RIE Oticon miniRITE. I can find something from each post here that resonates with me! So I know I'm in good, informed company! :-)

    While I definitely agree that one has to get used to the "new normal", I also have become incredibly discriminating and not a little demanding in going back again and again until the sound quality from my aids best suits my needs. In that respect, I'm still not 100% happy with the Oticon Opns. I think for me, there is just a very noticeable difference in the QUALITY of sound one gets when the aid (mic, receiver) sit IN the ear cup. My 4-yr-old Agil Pros are still the best pair I've had in terms of sound QUALITY. They also have a perfectly good streamer, that lets me use the phone hands-free. Yes, in the perfect world, ALL sound would somehow stream right into my ears (from TV, laptop, cell phone, etc.,). In that respect my old Agil Pros fail: there is NO working TV streamer.

    I LOVE how my Opns stream to the TV, but I have no external streamer for my Samsung Galaxy. I'm not interested in the IoT scenario, so wait patiently for Oticon to release a clip-on device for phone streaming.

    However, I simply CAN NOT hear in crowds with these Opns as well as with my old Agil Pros! Case in point: a conversation with a couple started from about 20' across at Raleys the other day. Hubs, the elderly gentleman and his wife could all hear each other A-OK. I got about 75% of the conversation from the distance at which I stood. I COULD, however hear EVERY OTHER BLASTED sound in the store: blathering conversation nearby, clatter of the coffee shop behind me, stir-frying at the Mongolian BBQ off to the side, someone burping in aisle 10 (ok, so I made up that last one). The point is, with the mic behind my ear pointing up through my rustling hair at the ceiling, it's simply not optimal for sound to be fed into the receiver that sits in my ear.

    Oh. And the walk over in 30F with a HAT on? LOTTA whistling, hair rustling, hat shifting irritation. Maybe I should bore two small holes through my nice wool had that point at the outdoors - snow comin' down and all? No. It's not a perfect scenario yet. Until and unless a POWERFUL aid can be fit comfortably INSIDE the ear, I will have to balance the pros and cons. I need the flexible dome on my Opns to aid in insertion first thing in the morning. They also sit beautifully lightweight (altho I'm still getting some sensation from the 2x4 receiver stuck in my ear canal). There is NO feedback under normal circumstances (when I'm not wearing a HAT!), which is not the case with my leaky-squeaky Agil Pro hard case aids.

    Other points I relate to with the posts here: 1.) audis want the aids to do the "thinking" for us - never mind that the hearing test is flawed and the set-up program based on faulty data, and 2.) the HA industry STILL does not adequately evaluate the success of their product. It's as if they say, "Lookee here! We've got an aid that lets you hear EVERYTHING - so get used to it, you'll love it! Trust me!"

    Here I am, articulate, experienced and SO willing to offer my feedback - I've told my aud-guy that 100 times. But no one wants to get this kind of field testing information. D'y'think it's cuz they'd be back at that workbench like Geppetto for 50 years before they could release a truly exceptional aid?
    Last edited by 1Bluejay; 02-24-2017 at 10:26 PM.
    HAs from 1985>Starkey>Phonak>AGX>Oticon Agil Pro ITE>Oticon Opn miniRITE

    KHz 0.25...0.5...1.0...2.0...3.0...4.0....6.0...8.0

    Left ..65....80....80....65.....65....60....65....90
    Right 65....80....80....75.....75....70....65....90

  7. #17
    Join Date
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    Location
    Oakland, Ca. & Aventura (Miami), Fl
    Posts
    406

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    I'd say the most important aspect in acquiring HA, is the service you get from an audi. This is especially true when you are getting your first pair. When I got my first pair six years ago, I started wearing them right away during all waking hours. Of course, she didn't want to start me off at full power-so three weeks later had first adjustment, in about a month after that it was set at full power. I was lucky in that I was able to adjust to newly acquired sounds fairly quickly.
    Mike
    250 --500-- 1000-- 1500-- 2000-- 3000-- 4000-- 8000
    35 --- 25----- 30---- 45----- 55----- 65----- 80----- 95
    (Both ears almost identical)

  8. #18
    Join Date
    Jun 2011
    Location
    Northern CA
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    Jtl,

    First thing to tell your HIS at Costco is: these are your HA's not hers and you expect them to be set up to your liking not hers. If she doesn't want to do it your way find the store manager and explain it to him/her and my guess is they will be set up the way you want them.
    Oticon Agil Pro w/streamer

    -250 500 1000 1500 2000 3000 4000 6000 8000
    L 10--5----10----30---50----70----85---80---80
    R 5--10----20----35---45----85----85--100--100

    SP Disc ------------- SRT
    L 88% @55db ------- L-10
    R 90% @55db------- R-25

  9. #19
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    Quote Originally Posted by MDB View Post
    Interesting that Japan's is so low. Any info on why? Something about the language? about how people speak?
    The study I read just gave the numbers regarding countries and HA satisfaction ratings, they didn't say why they were so low or high. My current audiologist is Japanese, from Japan, and trained in Japan: she is the most thorough audiologist I have ever had and knocks the socks off of any audiologist I have had that were trained in the US.

    Looking further into the low Japanese HA satisfaction rates. One study gave the reasons as: low level of coverage and very little professional involvement with a high level of OTC HA's.

    https://www.fda.gov/downloads/Medica.../UCM497410.pdf
    Last edited by seb; 02-26-2017 at 12:15 AM.
    Oticon Agil Pro w/streamer

    -250 500 1000 1500 2000 3000 4000 6000 8000
    L 10--5----10----30---50----70----85---80---80
    R 5--10----20----35---45----85----85--100--100

    SP Disc ------------- SRT
    L 88% @55db ------- L-10
    R 90% @55db------- R-25

  10. #20
    Join Date
    Jun 2011
    Location
    Northern CA
    Posts
    3,548

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    Quote Originally Posted by MDB View Post
    Regarding additional programs. I think it depends. My Mom has Phonak B50s with just the auto program. She wears them 14 hrs a day without an issue. She doesn't need any other programs. If you have special situations where the auto program doesn't work, then I'd look into adding programs.
    You may not need the additional programs, but they are nice to have just in case you do. I have my standard program which I use 99% of the time. However, I also have a music program which does make music sound a lot richer. No. three is Tcoil which I use when I'm someplace that is wired and then at no. four it's restaurant or speech in noise which I use when I'm in a noisy place and I can't hear above all the background noise. I don't use the extra programs all that much but when I need them it's nice to know they are there.
    Oticon Agil Pro w/streamer

    -250 500 1000 1500 2000 3000 4000 6000 8000
    L 10--5----10----30---50----70----85---80---80
    R 5--10----20----35---45----85----85--100--100

    SP Disc ------------- SRT
    L 88% @55db ------- L-10
    R 90% @55db------- R-25

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