It's not JUST dB...

Phi4Sius

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But the whole package.

One can hear 0 dB with an analog hearing aid and can't discriminate worth anything.

One can hear 0 dB with a digital hearing aid and discriminate all the sounds of the spectrum.

One can hear 0 dB with a CI and hear amazingly well with the appropriate maps.

One can hear 0 dB with an analog hearing and hear well.

One can hear 0 dB with a digital hearing aid and hear like crap.

One can hear 0 dB with a CI and hear very bad with the wrong maps.

Just goes to show that dB isn't everything. What it boils down to is:

1. The processing method.

Or, rather, how the hearing aid sound signal is being processed. Digital hearing aids have completely different processing methods than analog. And, as I've personally experienced, sounds can be completely different from Hearing Aid to Hearing Aid (even between digital - digital and analog - analog).

2. The algorithms involved.

The algorithm involved can be different from hearing aid to hearing aid. So, it's important to try different hearing aids fitted by your audiologist to figure out which can be best for you.

3. The fitting

And, of course, it also boils down to the fitting performed by the audiologist. If you have an incompetent audiologist, then find a good one. Even CI results depend heavily on the audiologist involved and how well they're able to fine tune the mappings. If you have a terrible audiologist and your hearing aid isn't programmed or adjusted correctly, or you have a hearing aid that's wrong for your loss, then you will not hear well.

That's why it's important to try several different aids for comparison and seeing how well they stack up to your own expectations, what you want out of the hearing aid, and everything else involved with such a decision. That's why it's important to consider all factors involved - and not just dB.

It can mean the difference between somewhat okay hearing and the best hearing you've ever had.
 
Or you can have a damaged auditory nerve and all the adjustments of anything are still going to leave gaps in understanding.
 
Very true, Bottesini. That would normally be discovered by a qualified ENT prior to referring someone to an audiologist. All of the above is assuming someone has been sent to an audiologist by an ENT and has been cleared of all possible damage to the nerve itself. It also assumes correctly working nerves, CI is operating correctly, hearing aids are operating correctly, etc.
 
How does a dr test an auditory nerve to see if it's damaged? Is it more common in genetic cases?
 
sallylou- I think they use the ABR (auditory brain stem response) test to determine that?
 
Just goes to show that dB isn't everything. What it boils down to is:

DB is only half the equation but does matter. If you compare apples to apples and turn the volume down on your own HA, youll hear worse. Likewise, turning the gain up youll hear better.

That's why it's important to try several different aids for comparison and seeing how well they stack up to your own expectations, what you want out of the hearing aid, and everything else involved with such a decision. That's why it's important to consider all factors involved - and not just dB.
It can mean the difference between somewhat okay hearing and the best hearing you've ever had.

I keep mentioning to try different HAs if you want to hear better and especially if you are considering a CI. This guy did just that and realized
why get CI when the right HAs programmed correctly can get you from 20% to 80% speech? He has the same HAs I have. If I had a little more residual hearing, id be scoring 80% speech too! For that, ill have to wait about 3 years for stem cells.

A deaf dude's life: Try every HA before CI! This guy now scores 80% speech with HA!

Phi, I am online. Hope to see you on again soon.
 
But the whole package.

One can hear 0 dB with an analog hearing aid and can't discriminate worth anything.

One can hear 0 dB with a digital hearing aid and discriminate all the sounds of the spectrum.

One can hear 0 dB with a CI and hear amazingly well with the appropriate maps.

One can hear 0 dB with an analog hearing and hear well.

One can hear 0 dB with a digital hearing aid and hear like crap.

One can hear 0 dB with a CI and hear very bad with the wrong maps.

Just goes to show that dB isn't everything. What it boils down to is:

1. The processing method.

Or, rather, how the hearing aid sound signal is being processed. Digital hearing aids have completely different processing methods than analog. And, as I've personally experienced, sounds can be completely different from Hearing Aid to Hearing Aid (even between digital - digital and analog - analog).

2. The algorithms involved.

The algorithm involved can be different from hearing aid to hearing aid. So, it's important to try different hearing aids fitted by your audiologist to figure out which can be best for you.

3. The fitting

And, of course, it also boils down to the fitting performed by the audiologist. If you have an incompetent audiologist, then find a good one. Even CI results depend heavily on the audiologist involved and how well they're able to fine tune the mappings. If you have a terrible audiologist and your hearing aid isn't programmed or adjusted correctly, or you have a hearing aid that's wrong for your loss, then you will not hear well.

That's why it's important to try several different aids for comparison and seeing how well they stack up to your own expectations, what you want out of the hearing aid, and everything else involved with such a decision. That's why it's important to consider all factors involved - and not just dB.

It can mean the difference between somewhat okay hearing and the best hearing you've ever had.

This is very true -- especially in my case. During the 4 years I've had my first CI and 3 years I've had my second, I went from having all of my electrodes turned on to having 6 high frequency electrodes deactivated. As a result, I'm able to understand speech much better (especially in noise and over the phone) and the high frequencies in music no longer sound off-key. I used to attribute the difference in my hearing to my left CI having slightly older technology than the right, but I no longer think this is the case since I'm able to hear just as well whether I'm using my Freedom BTEs or 3G BTEs (predecessor to the Freedom). While the Freedom sounds clearer to me than the 3G, I'm still able to understand speech just as well and enjoy music the way I do with the Freedom. As one of my audis told me, someone with moderate hearing loss can hear poorer than someone with a severe loss. There are varying factors (too many to list here) which determine how well (or poorly) a person can hear with HAs or CIs.
 
Very true, Bottesini. That would normally be discovered by a qualified ENT prior to referring someone to an audiologist. All of the above is assuming someone has been sent to an audiologist by an ENT and has been cleared of all possible damage to the nerve itself. It also assumes correctly working nerves, CI is operating correctly, hearing aids are operating correctly, etc.

Well. The ENT just asked me to visit and audi to see which aid fits me.

:hmm::hmm:
 
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