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Author Testing and adjusting hearing aids while wearing them.
asidline@comcast.net

2005-05-24, 5:55 pm

I have posted the message below under another topic. Please ignore that one and use this.

This is a new post. I have asked audiologists and even an ENT why can't one
test one's existing amplifiers [hearing aid's ] while wearing them? A
speech comprehension test usually goes like this: "Say the word xxx". And
if one's perceived word does not match the test word, wouldn't an amplifier
adjustment in situ be helpful? Was the missed consonant of sufficient
energy impacting the eardrum (or cilium) or whatever? The normal frequency
response test without your amplifiers is a starting point only. I still
have a lot to learn. Hearing correction is usually much more difficult than
vision correction.
--
ALEX SIDLINE
Ken

2005-05-24, 5:55 pm

When I was first fitted with hearing aids donkeys years ago the
audiologist repeated the comprehension tests after fitting. I have
learnt in this group that not everyone does this. I think if I were an
audiologist I would want to do it simly to gain some objective measure
of the improvment and the effectiveness of the protheses - something in
the nature of quality control.

montag@gmail.com

2005-05-25, 11:50 am



Ken wrote:
> When I was first fitted with hearing aids donkeys years ago the
> audiologist repeated the comprehension tests after fitting. I have
> learnt in this group that not everyone does this. I think if I were an
> audiologist I would want to do it simly to gain some objective measure
> of the improvment and the effectiveness of the protheses - something in
> the nature of quality control.


While I agree with you that some sort of evaluation should be completed
when fitting aids for outcome measurement, remember that the with
tones/narrow band noise and speech in the booth is NOT an objective
measure, it is a subjective measure.

ALEX SIDLINE

2005-05-25, 11:50 am

I agree that the anechoic booth used for testing does not represent the real
world, but I think that in situ adjustment (where possible) will improve the
comprehension. Re it being subjective, an optometrist or ophthalmologist
will change test focus measurements. Now this is also very subjective.
Thanks for your reply.

--
ALEX SIDLINE
<montag@gmail.com> wrote in message
news:1117030133.166394.163470@g43g2000cwa.googlegroups.com...
>
>
> Ken wrote:
>
> While I agree with you that some sort of evaluation should be completed
> when fitting aids for outcome measurement, remember that the with
> tones/narrow band noise and speech in the booth is NOT an objective
> measure, it is a subjective measure.
>



PATRICIA BURNS

2005-05-26, 10:52 pm

asidline@comcast.net wrote:

> I have posted the message below under another topic. Please ignore that one and use this.
>
> This is a new post. I have asked audiologists and even an ENT why can't one
> test one's existing amplifiers [hearing aid's ] while wearing them? A
> speech comprehension test usually goes like this: "Say the word xxx". And
> if one's perceived word does not match the test word, wouldn't an amplifier
> adjustment in situ be helpful? Was the missed consonant of sufficient
> energy impacting the eardrum (or cilium) or whatever? The normal frequency
> response test without your amplifiers is a starting point only. I still
> have a lot to learn. Hearing correction is usually much more difficult than
> vision correction.
> --
> ALEX SIDLINE


It's been my experience that -pediatric- audiologists ALWAYS perform an "aided audiogram".
And we have seen many, many pediatric audiologists. I can't imagine why they wouldn't want to
do one for you.

I checked for audiogram charts and found that most of them include an area for noting aided
responses.
http://www.vnh.org/FSManual/08/Images/fig8.5.gif

--
Patricia Burns
(Just one s)


dsi1

2005-05-26, 10:52 pm

PATRICIA BURNS wrote:
> asidline@comcast.net wrote:
>
>
>
>
> It's been my experience that -pediatric- audiologists ALWAYS perform an "aided audiogram".
> And we have seen many, many pediatric audiologists. I can't imagine why they wouldn't want to
> do one for you.
>
> I checked for audiogram charts and found that most of them include an area for noting aided
> responses.
> http://www.vnh.org/FSManual/08/Images/fig8.5.gif
>
> --
> Patricia Burns
> (Just one s)
>


It is interesting that there seems to be confusion for the bone
conduction symbols. What is the correct orientation of these?






dsi1

2005-05-27, 5:53 pm

PATRICIA BURNS wrote:
> asidline@comcast.net wrote:
>
>
>
>
> It's been my experience that -pediatric- audiologists ALWAYS perform an "aided audiogram".
> And we have seen many, many pediatric audiologists. I can't imagine why they wouldn't want to
> do one for you.
>
> I checked for audiogram charts and found that most of them include an area for noting aided
> responses.
> http://www.vnh.org/FSManual/08/Images/fig8.5.gif
>
> --
> Patricia Burns
> (Just one s)
>
>

The symbols for the masked/unmasked and no response bone conduction in
this blank audiogram is the opposite from what I think it should be.
Though I've seen it both ways. There must be different schools of
thought in which is correct way. It makes more sense to me in Patricia's
example as the unmasked symbols are pointed toward the direction that
it's named. I guess it's just one of the peculiarities of the field.
Ken

2005-05-28, 8:53 am


When I was first fitted with hearing aids donkeys years ago the
audiologist repeated the comprehension tests after fitting. I have
learnt in this group that not everyone does this. I think if I were an
audiologist I would want to do it simly to gain some objective measure
of the improvment and the effectiveness of the protheses - something in
the nature of quality control.

dsi1

2005-05-29, 8:52 am

PATRICIA BURNS wrote:
> asidline@comcast.net wrote:
>
>
>
>
> It's been my experience that -pediatric- audiologists ALWAYS perform an "aided audiogram".
> And we have seen many, many pediatric audiologists. I can't imagine why they wouldn't want to
> do one for you.
>
> I checked for audiogram charts and found that most of them include an area for noting aided
> responses.
> http://www.vnh.org/FSManual/08/Images/fig8.5.gif
>
> --
> Patricia Burns
> (Just one s)
>


It is interesting that there seems to be confusion for the bone
conduction symbols. What is the correct orientation of these?






PATRICIA BURNS

2005-05-29, 5:52 pm

dsi1 wrote:

> PATRICIA BURNS wrote:
>
> It is interesting that there seems to be confusion for the bone
> conduction symbols. What is the correct orientation of these?


I plead ignorant of bone conduction issues. I can only report from personal experience.
--
Patricia Burns
(Just one s)


PATRICIA BURNS

2005-05-29, 5:52 pm

dsi1 wrote:

> PATRICIA BURNS wrote:
>
> It is interesting that there seems to be confusion for the bone
> conduction symbols. What is the correct orientation of these?


I plead ignorant of bone conduction issues. I can only report from personal experience.
--
Patricia Burns
(Just one s)


dsi1

2005-05-29, 5:52 pm

PATRICIA BURNS wrote:
> dsi1 wrote:
>
>
>
>
> I plead ignorant of bone conduction issues. I can only report from personal experience.
> --
> Patricia Burns
> (Just one s)
>
>

Opps. Sorry I though you were an audiologist. Take care.

david
PATRICIA BURNS

2005-05-30, 11:52 am

asidline@comcast.net wrote:

> I have posted the message below under another topic. Please ignore that one and use this.
>
> This is a new post. I have asked audiologists and even an ENT why can't one
> test one's existing amplifiers [hearing aid's ] while wearing them? A
> speech comprehension test usually goes like this: "Say the word xxx". And
> if one's perceived word does not match the test word, wouldn't an amplifier
> adjustment in situ be helpful? Was the missed consonant of sufficient
> energy impacting the eardrum (or cilium) or whatever? The normal frequency
> response test without your amplifiers is a starting point only. I still
> have a lot to learn. Hearing correction is usually much more difficult than
> vision correction.
> --
> ALEX SIDLINE


It's been my experience that -pediatric- audiologists ALWAYS perform an "aided audiogram".
And we have seen many, many pediatric audiologists. I can't imagine why they wouldn't want to
do one for you.

I checked for audiogram charts and found that most of them include an area for noting aided
responses.
http://www.vnh.org/FSManual/08/Images/fig8.5.gif

--
Patricia Burns
(Just one s)


alf500@comcast.net

2005-06-11, 10:52 pm

On 24 May 2005 15:23:00 -0700, "Ken" <kkerrison@ozemail.com.au> wrote:

>
>When I was first fitted with hearing aids donkeys years ago the
>audiologist repeated the comprehension tests after fitting. I have
>learnt in this group that not everyone does this. I think if I were an
>audiologist I would want to do it simly to gain some objective measure
>of the improvment and the effectiveness of the protheses - something in
>the nature of quality control.


A bit late on the reply but while it is possible to set an aid up so
that speech descrimination scores are higher, the result may be
uncomfortable for the user in real life.
alf500@comcast.net

2005-06-11, 10:52 pm

On Sat, 11 Jun 2005 16:04:06 -0700, alf500@comcast.net wrote:

>On 24 May 2005 15:23:00 -0700, "Ken" <kkerrison@ozemail.com.au> wrote:
>
>
>A bit late on the reply but while it is possible to set an aid up so
>that speech descrimination scores are higher, the result may be
>uncomfortable for the user in real life.


Oops, discrimination, hooked on phonics.

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