I get my Phonak Exelia today!!!

Well said Alicia.

For example, Alicia has a power model of her Verstas but her hearing loss doesn't require the gain that a power model is capable of yet. It is there so she has growing room if/when her hearing deteriorates more.

If we all went around buying hearing aids with the intent of maxing them out right away we would be buying new ones every time our hearing changed!

I would also like point out that hearing aids are not intended to be maxed out! Just because they are capable of it doesn't mean it should be done. My minivan is capable of going 200+ KM an hour, but do drive it that fast because I can and it could be a little faster? No, I don't! Why? Because I recognize that my minivan gives me the best preformance when I drive it at the speed limits and I get the best, most effective, and safest use of it when I am at the prescribed speeds.

I made a thread on this and I hope to learn from the answers. Alicia has like 70db loss so she might not require full gains, a few db gains could still aid her to normal hearing. My hearing is much worse so unless my gains are maxed, I will not hear as well as Alicia. A CI would not yet help me as long as HAs are giving me normal aided hearing. If I lose another 10-15db hearing, then yea ill look more into a CI.

If my hearing got worse, I would still stick with my current HAs till my hearing got bad enough that a CI would have good odds in my favor. Of course id try a better HA if there is any before ever going the CI route.

If HA's aren't intended to be maxed out, why is deafdoc's HAs maxed out? I don't feel that I am hearing well enough, there's some environmental sounds my dad hears that escape me. Also my audiologist feels I could get better speech reception when he reprograms my HAs for max gain. Ill have to ask my audiologist the pros and cons of max gains but believe he would say the pros far outweigh the cons.

Your minivan analogy is different for many reasons. First there's something called a speed limit that if you exceed, you get in trouble with the law. Second speeding puts you in danger. I am guessing one of the few reasons your minivan can do 200 is for emergency purposes. Say some criminal is persuing you and you have to escape, you hope to drive faster than him and lose him. A second reason is perhaps one of your passengers gets a heart attack, you drive fast to the hospital!
 
I don't feel that I am hearing well enough, there's some environmental sounds my dad hears that escape me.

Did you ever stop and think this could be due to the fact that you have profound loss and your father does not?

Face it. There are going to be some environmental sounds you will not hear -- with or without hearing aids.
 
Im sure your audiologist can resolve all your problems as well as give you more gain if your HAs aren't maxed out. Youll be amazed how much better you hear!

If this is true, how come it didn't work for me?
 
deafdude1 - My HA is maxed out because it's a preference of mine and it helps me greatly. I'm even able to understand someone when they talk (not yell, but talk) to me across the small parking lot at work. If someone else with my same hearing loss prefers less noise, then they'll probably want less gain.

I have no idea WHY you are obsessed with the whole gain deal - more gain doesn't always mean better hearing. In fact, more gain may lead to distortion in echoey environments and reduce your ability to understand speech in noise. With the gain I set as a preference with my audiologist I'm hearing and understanding all sorts of sounds I haven't heard in years with my other digital (the crappy GN ReSound Canta 7). That's what *I* prefer- to hear anything and everything because the supporting environmental sounds add to richer sounding, higher quality experiences for me. To someone else, it would probably make no sense and more than likely sound like crap. My audie thought the hearing aid at my settings sounded like crap, but it's the best hearing aid I've ever had.

It's all about preference, bro and what you want to hear. Not about gain. IF gain is what is required to get you to hear what you want to hear with your hearing aid, then your audiologist will change to the appropriate settings for that.
 
In fact, more gain may lead to distortion in echoey environments and reduce your ability to understand speech in noise.

This is exactly why my former hearing aid audi did not want to increase the gain on my hearing aids. She did it upon my request, but I quickly learned that she was right about gain causing more distortion. When the gain on my hearing aids was set to the maximum level, I couldn't understand any speech or make sense of environmental sounds.
 
My audie thought the hearing aid at my settings sounded like crap, but it's the best hearing aid I've ever had.

This is a little different, but I feel the same way about 6 high frequency electrodes being turned off on each of my CIs. Some may think that being unable to hear 6 high frequencies with each implant makes speech more difficult to understand and that I'm missing out on alot of sounds, but I'm not. I'm hearing better than I ever have before. Speech sounds crisp and clear and music sounds just as wonderful as it did before I wore hearing aids.
 
Did you ever stop and think this could be due to the fact that you have profound loss and your father does not?

Face it. There are going to be some environmental sounds you will not hear -- with or without hearing aids.

My audiologist thinks theres a possibility he could give me aided hearing equal to what a hearing person like my dad hears. Remember that at low frequencies, my hearing loss is not profound, only severe.

If this is true, how come it didn't work for me?

My audiologist would have thrown in the towel upon testing you with his audiometer and told you that a 120db HL can't be touched with any HAs, period. If you told him you were getting too much distortion with better than 60-70db aided, he probably would have told you at this point a CI would very likley give better results. If I were an audiologist, I would say the same. Id let you make the choice, if you still choose HAs, id say fine and sell you a pair. If you choose CI, I would understand and respect your choice and not force HAs on you. :ty:


deafdude1 - My HA is maxed out because it's a preference of mine and it helps me greatly. I'm even able to understand someone when they talk (not yell, but talk) to me across the small parking lot at work. If someone else with my same hearing loss prefers less noise, then they'll probably want less gain.

I am still trying to understand why not everyone is helped/benefitted by max gain, see my thread on this. If another person with your audiogram wants less gain, they would not hear someone across the parking lot. It would be their choice and they can use any reason for that choice. However they should not complain about anything they can't hear, after all, they chose less gains!

I have no idea WHY you are obsessed with the whole gain deal - more gain doesn't always mean better hearing. In fact, more gain may lead to distortion in echoey environments and reduce your ability to understand speech in noise.

It improved your hearing on all counts and probably will do the same for me. I will have to ask my audiologist how can it be possible that paradoxically with more gains, they end up hearing less. Distortion has been mentioned but how do you, I and many others explain that despite distortion, we still end up hearing better anyway?

It's all about preference, bro and what you want to hear. Not about gain. IF gain is what is required to get you to hear what you want to hear with your hearing aid, then your audiologist will change to the appropriate settings for that.

The irony then stands if a person wants to hear less than a HA is capable of, yet still complain they can't hear and/or think about CI, that they should first reprogram the HA. In your case, your complaints are valid since you weren't hearing what you wanted to hear. But some people have their own preference of what they want to hear and may not opt for max gains. I will have to learn not to be so quick in recommending everyone ask for max gains. :hmm:

This is a little different, but I feel the same way about 6 high frequency electrodes being turned off on each of my CIs. Some may think that being unable to hear 6 high frequencies with each implant makes speech more difficult to understand and that I'm missing out on alot of sounds, but I'm not. I'm hearing better than I ever have before. Speech sounds crisp and clear and music sounds just as wonderful as it did before I wore hearing aids.

So it could be entirely possible a person with no residual hearing above 2000Hz may end up not being able to tolerate hearing above 2000Hz with CI. The second thing is if you aren't missing out, then perhaps many others with no residual hearing above 2000Hz likewise aren't missing out. Ive even been told by my parents that im not missing much by not being able to hear high frequencies, go figure.
 
My audiologist would have thrown in the towel upon testing you with his audiometer and told you that a 120db HL can't be touched with any HAs, period. If you told him you were getting too much distortion with better than 60-70db aided, he probably would have told you at this point a CI would very likley give better results. If I were an audiologist, I would say the same. Id let you make the choice, if you still choose HAs, id say fine and sell you a pair. If you choose CI, I would understand and respect your choice and not force HAs on you.

I'm glad you realize that I exhausted all options amplification-wise before considering a CI. Even when I was tested using my Comtek FM system with DAI and Oticon DigiFocus II super power BTEs, I received 8% speech discrimination with my left ear and 22% with my right ear. :)
 
Remember that at low frequencies, my hearing loss is not profound, only severe.

:ty: for correcting me. :)
 
Distortion has been mentioned but how do you, I and many others explain that despite distortion, we still end up hearing better anyway?

Simple. Hearing loss varies from person to person. What works well for you or Phi (i.e. maximum gain) may not work for someone else.
 
So it could be entirely possible a person with no residual hearing above 2000Hz may end up not being able to tolerate hearing above 2000Hz with CI. The second thing is if you aren't missing out, then perhaps many others with no residual hearing above 2000Hz likewise aren't missing out. Ive even been told by my parents that im not missing much by not being able to hear high frequencies, go figure.

The difference though between me and a HA user is that hearing aids amplify sound. They do not bypass the middle ear and provide clarity like a CI does. Also remember that I do have some hearing at 2000 Hz and above with the exception of my left CI at 8000 Hz. I may not be hearing at 20 dB in those frequencies, but I am hearing something even if it is significantly less than what someone normally hears with an implant.
 
Adamsmomma- So far, yeah, I'm lovin' it. BTW, I only have one - 2 hearing aids won't help me at all because a hearing aid in my left ear will detract from the good hearing aided by a hearing aid in my right ear. I'm really hoping I'm determined to be a cochlear implant candidate for my left ear. My audie seems to believe that they will help me significantly so I'm investigating the candidacy of my left ear.
 
Phi,

How much speech are you able to understand with your right ear aided?
 
Hear Again - With my previous digital at my last audiogram on 2/19 this year it was 85%. I'm sure it's improved with my new Phonak - just not sure how much. I know I'm now able to understand speech behind me really well without lip reading, which is a significant improvement. A great improvement is I don't have to use captions on the TV anymore!!
 
Hear Again - With my previous digital at my last audiogram on 2/19 this year it was 85%. I'm sure it's improved with my new Phonak - just not sure how much. I know I'm now able to understand speech behind me really well without lip reading, which is a significant improvement. A great improvement is I don't have to use captions on the TV anymore!!

Wow..that is awesome Phi4Sius. I am so glad the new ha is helping you.
 
Hear Again - With my previous digital at my last audiogram on 2/19 this year it was 85%. I'm sure it's improved with my new Phonak - just not sure how much. I know I'm now able to understand speech behind me really well without lip reading, which is a significant improvement. A great improvement is I don't have to use captions on the TV anymore!!

Very impressive, Phi! That's great! :D
 
Hear Again - With my previous digital at my last audiogram on 2/19 this year it was 85%. I'm sure it's improved with my new Phonak - just not sure how much. I know I'm now able to understand speech behind me really well without lip reading, which is a significant improvement. A great improvement is I don't have to use captions on the TV anymore!!


You very likley hear better than most CI wearers. You could be up to 95% speech now. I read that they require 40% or less in the ear to be implanted and 60% in the contralateral ear. I will never get to 95% since my hearing is way worse than yours. I am probably looking at around 80% but that's still way too high for me to qualify for CI. Phi, have you seen my long reply to your posts on page 1?

Wow..that is awesome Phi4Sius. I am so glad the new ha is helping you.

This is why I am a strong believer in the marvels of HA technology. This is also why I stand behind my posts I wrote in my blog.

edit: I keep thinking of all the people with only moderate hearing loss like Phi4Sius who were too quick to get, ask or opt for CI before trying a better HA which likley would have worked great!
 
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edit: I keep thinking of all the people with only moderate hearing loss like Phi4Sius who were too quick to get, ask or opt for CI before trying a better HA which likley would have worked great!

Phi has a moderate hearing loss? I thought it was severe or profound in one ear and profound in the other.

Phi, would you mind clarifying?
 
Phi has a moderate hearing loss? I thought it was severe or profound in one ear and profound in the other.

Phi, would you mind clarifying?

It's very profound in one ear and moderate in the other. He can't wear a HA in the very profound ear but he wants a CI in that very profound ear. His better ear benefits great from a HA.
 
It's very profound in one ear and moderate in the other. He can't wear a HA in the very profound ear but he wants a CI in that very profound ear. His better ear benefits great from a HA.

If Phi understands as much speech as he does with his aided ear, he may have difficulty qualifying for a CI.
 
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