How can max hearing aid gains ever not be a good thing?

deafdude1

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I had several different ideas how to word the subject of this post but the questions are the same. I know ive talked about max gains several times and the only answers ive gotten was "distortion" or something silly like "I choose not to hear my best"

It seems that some of the less "deaf" people choose not to max the gains as "saving" the extra gain for later. Why not hear your best now and when your hearing gets worse, either live with hearing less or upgrade to better HAs or even get a CI?(another discussion entirely) Why hear at 40db aided at all times when you can hear at 20db aided and if your hearing gets worse, youd still hear at say 30db aided and when it gets worse again, youll be at 40db aided. In the mean time, you would have enjoyed 20db for years then 30db for years!

Ive always wore the best HAs with the gains maxed out, save for a few db at 250Hz shy of max(which I didn't know back then and missed out on that) but I always had 1000Hz and above maxed out. It has already been tried, I hear worse in every aspect with less gain.

If a HA was not meant to operate at max gain, well then the company should not be claiming a gain of 80db if the HA is not capable of that without feedback or horrible distortion or even breaking down prematurely. They should have a spec sheet showing the HA performance at different amounts of gain and make a note saying something like "performance may be adversely affected if gains exceed 70db"

But another question begs the point, even if you got 2% distortion(which is what the specs claim) how bad can a little distortion be when you hear so much better? Even if you don't experience a big improvement in speech, youll still hear so much more environmental sounds(which are alot less sensitive to distortion) also you can always use the volume control, you don't have to leave it on max at all times. Say you are a passenger in a car and you get tired of hearing the noisy traffic, simply turn the volume down. Then you can turn it back up when the ride is over.

I am trying to learn more, I am honestly surprised for many reasons and even made a poll which alot of people voted that they did indeed have their gains maxed. Some voted that their HL was so profound HAs were nearly useless. Id like to know exactly how much HL at 250Hz, 500Hz, 1000Hz, etc they have. They might be surprised to know that today's HAs could at least let them hear alot of environmental sounds. Ill think of more questions to ask depending on the answers I get.
 
deafdude,

It does no good to hear environmental sounds if a person can't understand speech (unless a person accepts being able to hear environmental sounds only).

Besides, the more environmental sounds a person hears, the more difficult it is to understand speech in noise.
 
Say you are a passenger in a car and you get tired of hearing the noisy traffic, simply turn the volume down. Then you can turn it back up when the ride is over.

Using hearing aids isn't this simple -- especially for someone who has a profound loss. Heck, this wasn't even true for me when I had moderately-severe loss because I constantly had to adjust the volume control on my hearing aids. When environmental sounds were too loud, I had to turn them down. When someone spoke to me, I had to turn them back up. One thing I can say though is that I'm so glad the hearing aids I've worn in the past (Oticon 380Ps and Oticon DigiFocus II super power BTEs) had volume controls. They were a must for me. If my hearing aids didn't have them, I have no idea how I would have functioned.
 
deafdude,

It does no good to hear environmental sounds if a person can't understand speech (unless a person accepts being able to hear environmental sounds only).

Besides, the more environmental sounds a person hears, the more difficult it is to understand speech in noise.


I am that person! :)

I never found turning my hearing aids to the max when talking with hearing people a problem. I use lipreading and some of my hearing combined. I cant do one without the other.
 
It's funny you should say that shel because I was thinking of you when I wrote that! :giggle:

:lol:

Growing up, I used to want to hear and understand speech so badly and I would become obsessive about it. When learning ASL, I realized that life can be ok without hearing speech. Since then, I have found myself being able to understand hearing people better..it is weird.
 
:lol:

Growing up, I used to want to hear and understand speech so badly and I would become obsessive about it. When learning ASL, I realized that life can be ok without hearing speech. Since then, I have found myself being able to understand hearing people better..it is weird.

I wonder if this might be due to the fact that you feel more comfortable now that you have another way to communicate (ASL)? When I started using tactile sign, I noticed myself having an easier time hearing with my Comtek FM system. I wasn't so stressed about being unable to hear and felt comfortable knowing that I always had another form of communication (tactile sign) I could rely on.
 
I am frustrated with this post, YET AGAIN!

deafdude, NOT EVERYONE HAS THE SAME LOSS! If we maxed our gains out it would damage our ears!! There is a reason why they are able to be adjusted! If we hiked the gains up I wouldn't only be ringing my head but my hearing would get much worse in a short amount of time!
I don't know what it is going to take for you to understand that not every ones ears are like yours. Not everyone feels like you do. This subject is just getting redundant.
 
I wonder if this might be due to the fact that you feel more comfortable now that you have another way to communicate (ASL)? When I started using tactile sign, I noticed myself having an easier time hearing with my Comtek FM system. I wasn't so stressed about being unable to hear and felt comfortable knowing that I always had another form of communication (tactile sign) I could rely on.

I am sure that is the case. That's what makes me pissed off is that I didnt have that growing up...would have saved me a lot of misery!
 
I am sure that is the case. That's what makes me pissed off is that I didnt have that growing up...would have saved me a lot of misery!

I bet it would have. I feel the same way even though I had moderately-severe hearing loss in high school. If I had been given access to tactile sign, I'm sure school would have been much easier for me. We did have a Deaf student in my high school. Like me being the only blind student, she was the only Deaf student. Sometimes I envied her because she was able to use a terp in class and understand everything that was said. I had difficulty hearing female voices from the back of the room as well as hearing speech in background noise.

There was also a time when I was hospitalized for severe depression after I lost my hearing. There was a Deaf patient there who used a terp. It infuriated me because he could understand everything that was being said in group therapy while I could not. That only fueled my anger and made my hearing loss that much more difficult to accept.
 
Oh god, not again...

I don't think you understood 2% distortion. PERCENT means it relies on volume (or gain?) meaning when you increase volume/gain, you increase the distortion.

You said that you hear "better" with more gains, but you never specified how. Do you recognize more environmental sounds or do you understand speech better? At this point, I think "better" to you simply means "louder".

Sometimes I hear MUCH louder with the HA than the CI, but that means JACK SQUAT because I STILL can't discriminate much with that HA!
 
Oh god, not again...

I don't think you understood 2% distortion. PERCENT means it relies on volume (or gain?) meaning when you increase volume/gain, you increase the distortion.

You said that you hear "better" with more gains, but you never specified how. Do you recognize more environmental sounds or do you understand speech better? At this point, I think "better" to you simply means "louder".

Sometimes I hear MUCH louder with the HA than the CI, but that means JACK SQUAT because I STILL can't discriminate much with that HA!

:lol: Temper, temper. I think he is a lovely contrast to Faire-Jour insisting willy nilly that cochlear implants will solve everything for all people. :wave:
 
:lol: Temper, temper. I think he is a lovely contrast to Faire-Jour insisting willy nilly that cochlear implants will solve everything for all people. :wave:

I'm sorry. I'm sorry! *breathes in* *breathes out*

It's just way too early for redundant threads. :)
 
Interestingly enough, I have never heard at 20 or 40 db aided. I think the best results I've ever seen on my audiograms with HAs is about 50-60 db. I'm not sure why that is, but it's always been that way for me. I do hear a lot of environmental sounds, but not at 20 or 40 db so I'm not sure what exactly I've been missing out on. But I've always lip-read and do so well at that, that I haven't felt the need for maxed-out HAs (even though I didn't realize I potentially could have better HAs than what I have now.)
 
:lol: Temper, temper. I think he is a lovely contrast to Faire-Jour insisting willy nilly that cochlear implants will solve everything for all people. :wave:

I guarentee that if he gets a CI he will be back here doing exactly that. I have certainly never said that CI's work for everyone. I say that they work for the vast majority that choose to get them, and the research backs me up.
 
So, deafdude, if your hearing aids are at 20 db, should a person just talk really loud to over come the difference? Why not? Isn't louder better?
 
One of the issues using maximum gain is that your dynamic range will be reduced. Your threshold of pain remains roughly the same and each time you increase the gain the more limited your dynamic range will be for the sounds that you can still hear. So some that means you will need more compression in your hearing aids to fit the more limited dynamic range you have. It is a compromise in getting enough gain to hear and not to much output that will cause pain or cause compression distortion that will limited me in hearing in noise. I have been wearing hearing aids that set to give outputs greater that 130db as needed for most of my life and I glad that my hair cells were able to function at those levels for all that time. I used to be against CI for a long period since I feel that I was getting good benefit from hearing aids and did not want to learn to hear in a alternative sound environment. My friends were surprised about my about-face decision in getting a CI implant two years ago.
 
When I started wearing my Oticon DigiFocus II super power BTEs, compression was enabled and I could barely hear a thing. I had my audi turn it off and noticed a significant difference in my ability to hear environmental sounds.
 
So, deafdude, if your hearing aids are at 20 db, should a person just talk really loud to over come the difference? Why not? Isn't louder better?

If deafdude's hearing aids were programmed so that he could hear at 20 dB, he wouldn't need someone to talk very loud. 20 dB aided or unaided hearing is good enough for most people to be able to hear/understand conversational speech at normal volume levels.
 
If deafdude's hearing aids were programmed so that he could hear at 20 dB, he wouldn't need someone to talk very loud. 20 dB aided or unaided hearing is good enough for most people to be able to hear/understand conversational speech at normal volume levels.

Sorry, I was trying to make the point that a person yelling is going to sound distorted and that it will be unhelpful, just like turning up hearing aids louder and louder. Sorry that wasn't clear!
 
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