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Thread: New member, with lots of questions.....

  1. #1

    Default New member, with lots of questions.....

    Hi all,

    I just joined up today. Male, and going to be 51 in April. Hoping that you guys will be able to point me in the right direction and that I may get some useful information from someone with a similar hearing loss as I do.

    My story is, I have had worse hearing in my right ear for as long as I can remember. Ive always favoured my left ear for answering the phone for example. Not sure why I had the extreme right sided loss, only reason jumps to mind was that I used drive with my window down on the right for hours - could that have caused it?

    My GP referred me to an ENT to have my ears checked a year ago. The ENT prescribed steroids, I tried them, no success, but then I understand now as my loss was long term, it wouldn't have made a difference.

    Next was a hearing test, and an MRI to rule out an Acoustic Neuroma as one side was much worse than the other. That was all clear anyway.I wasn't happy with my ENT, she didn't recommend hearing aides or anything so time passed and in December, I visited another ENT and had a further hearing test, the results of which are in my signature and below.

    250hz 500hz 1000hz 2000hz 4000hz 8000hz
    L 15 15 20 40 30 45
    R 75 80 80 75 70 95

    So, I accept that I need hearing assistance for sure, but heres where I was hoping for input from your experienced folk, so I will throw out a few questions.


    • Would you imagine that my right ear is aidable? I believe its loss is in the Severe range. I do have some distortion in it at the moment when loud noises are present , for example the base noise while driving in a car, loud music.
    • Does wearing a hearing aid, and find tuning it, relearn your brain to hear through the distortion?
    • Does it look like my better ear needs aiding also? is it wise to do this, as it could save further hearing loss?
    • What would be the recommended brand of hearing aid for my type of losses? I assume the in canal types are too weak for my right ear for sure.



    Thanks in advance, Id be grateful for your wisdom.
    250hz 500hz 1000hz 2000hz 4000hz 8000hz
    L 15 15 20 40 30 45
    R 75 80 80 75 70 95

  2. #2
    Join Date
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    Default

    What are your word recognition numbers?
    Hidden Content
    KS6's w. Phone Clip +
    There is nothing either good or bad, but thinking makes it so. -- William Shakespeare





  3. #3

    Default

    Quote Originally Posted by KenP View Post
    What are your word recognition numbers?
    I wasn't tested for them, on either occasion.....
    250hz 500hz 1000hz 2000hz 4000hz 8000hz
    L 15 15 20 40 30 45
    R 75 80 80 75 70 95

  4. Default

    I would think it HIGHLY unlikely that driving with the window down would cause damage. I just don't think it is loud enough. I'm not a professional, but your L ear probably doesn't need that much aiding. Like you, I have asymmetric loss. No one can figure a reason why, though may have something to do with a fever I had as a child. I do wear HA's on both sides, but my left is worse than yours. You're hearing in speech range just isn't that bad. Mild to moderate loss at worse. Your right ear definitely needs help. The question is what kind of loss is it? HA's may or may not help, depending on the type.

    If they do help, then a RIC style hearing aid would work fine. The receivers have different levels of power and your audi can pick the one that is correct for you.

    Hearing aids due ultimately effect how you hear. So, they may affect the distortion you describe. You won't know until you've lived with them for a while....assuming they work for you.

    Good luck.

    Evil.
    Evil Scientist

    250 500 1K 2K 3K 4K 6K 8K

    L 10 10 20 40 55 55 60 60

    R 10 20 40 80 75 70 70 60

  5. #5

    Default

    Quote Originally Posted by Evil Scientist View Post
    I would think it HIGHLY unlikely that driving with the window down would cause damage. I just don't think it is loud enough. I'm not a professional, but your L ear probably doesn't need that much aiding. Like you, I have asymmetric loss. No one can figure a reason why, though may have something to do with a fever I had as a child. I do wear HA's on both sides, but my left is worse than yours. You're hearing in speech range just isn't that bad. Mild to moderate loss at worse. Your right ear definitely needs help. The question is what kind of loss is it? HA's may or may not help, depending on the type.

    If they do help, then a RIC style hearing aid would work fine. The receivers have different levels of power and your audi can pick the one that is correct for you.

    Hearing aids due ultimately effect how you hear. So, they may affect the distortion you describe. You won't know until you've lived with them for a while....assuming they work for you.

    Good luck.

    Evil.
    Thanks for replying

    The distortion is my main worry - not sure how thats fixable - I was hoping my brain would relearn and overcome the distortion - not sure if thats possible - does anyone know? Or is it because I have low frequency loss?
    250hz 500hz 1000hz 2000hz 4000hz 8000hz
    L 15 15 20 40 30 45
    R 75 80 80 75 70 95

  6. #6

    Default

    I expect you'll need to try hearing aids to find out what they do for the distortion. I have some distortion in my worse ear if I listen to ear buds, but not when my hearing aids are in.

    Did they test both air conduction and bone conduction when they did your audiogram? If your ENT gave you steroids, that might be because they saw some conductive loss (in a conductive loss the bone conduction results are much better than the air conduction results), but I'm just guessing.

    They really should have given you some numbers for your Speech Recognition Threshold (SRT) and Word Recognition Score (WRS). That would help determine if you need a hearing aid in your good ear. When people speak, a lot of the consonants are in the 2000 - 40000 Hz range where you have a mild to moderate loss. Since consonants are said softly (you can't shout an sssssss sound), that degree of loss could affect your ability to understand people, and the WRS score would let you put a number on that.

    I think all brands make hearing aids for a large range of hearing loss. It's the model that's important, I think. Your loss is not too severe to be aided. They might want you to wear two aids so the aids will help you regain the ability to hear what direction sounds are coming from.
    Freq: Right Left
    250 40 60
    500 50 65
    1000 50 60
    2000 45 45
    4000 65 70
    8000 9070

    Right: SRT=50 dB, WRS 92% at 70 dB
    Left: SRT=60 dB, WRS 80% at 80 dB

    Had stapedotomy on left ear in May, 2015. Prior to that had a severe/profound loss across all frequencies in my left ear.

    Widex220

  7. Default

    you have a tough situation. don't let people trick you into thinking you need some kind of surgical solution.
    Last edited by doubledown; 05-15-2016 at 12:48 AM.

  8. #8

    Default

    Quote Originally Posted by daisymae View Post
    I expect you'll need to try hearing aids to find out what they do for the distortion. I have some distortion in my worse ear if I listen to ear buds, but not when my hearing aids are in.

    Did they test both air conduction and bone conduction when they did your audiogram? If your ENT gave you steroids, that might be because they saw some conductive loss (in a conductive loss the bone conduction results are much better than the air conduction results), but I'm just guessing.

    They really should have given you some numbers for your Speech Recognition Threshold (SRT) and Word Recognition Score (WRS). That would help determine if you need a hearing aid in your good ear. When people speak, a lot of the consonants are in the 2000 - 40000 Hz range where you have a mild to moderate loss. Since consonants are said softly (you can't shout an sssssss sound), that degree of loss could affect your ability to understand people, and the WRS score would let you put a number on that.

    I think all brands make hearing aids for a large range of hearing loss. It's the model that's important, I think. Your loss is not too severe to be aided. They might want you to wear two aids so the aids will help you regain the ability to hear what direction sounds are coming from.
    I think the steroids were just a hail mary, to cover all bases, with not much hope of success.

    I might get the WRT next Friday when i visit the hearing aid specialist perhaps?

    I'd be ok with two, one would be easier I suppose but two would be liable with if it made everything 'better' overall......
    250hz 500hz 1000hz 2000hz 4000hz 8000hz
    L 15 15 20 40 30 45
    R 75 80 80 75 70 95

  9. #9

    Default

    Quote Originally Posted by doubledown View Post
    you have a tough situation. don't let people trick you into thinking you need some kind of surgical solution.

    you need an aid for your right ear, otherwise it will atrophy from lack of stimulation. in other words you will probably go deaf in that ear if you don't use an aid on it. you are probably going deaf right now.

    if you can understand speech in your right ear then you definitely want an aid in that ear.

    your left ear can do without an aid but I would look out to make sure it's not getting worst. if it is then you definitely need to get aids. if you have an old audiogram. pull it out and compare it with your new one. maybe a test done when you were a child. seriously do this.

    if you opt for one aid, then oticon is typically the go to brand as they aid performs well stand alone. they have a trimode microphone that allows you to hear better than any other single aid.

    if you opt for 2 aids then you definitely should get one of the lines that has adaptive binaural beamforming, siemens binax\rexton trax 42\rexton emerald 4c or phonak venture. siemens binax\rexton trax 42\rexton emerald 4c is better as they produce sounds at 10 kHz vs the 9 kHz range of the phonak venture line. this would be good for your left ear. this adaptive binaural beamforming requires 2 aids to work so there's no point on getting only one of these aids.

    ideally you go to an audi who sells both oticon and siemens brand. hearingrevolution.com sells both so you can try the 2 brands out and see how you like them.

    no single aid should cost more than $3k. trial should be 30 days with around a $300 penalty for not buying. all this should be confirmed over the phone first and then done again in person.
    Ok, i don't want to go any deafer in my right ear if I can help it. I suppose I do worry that at 80db, its almost gone already?

    I didn't even know there was a surgical option - I am not well informed at all despite visiting two ENTs. I got the impression, from both, that it was kinda " Yeah, its gone, don't worry about it....."

    I asked the first if I should investigate hearing aids, and her reply was that i could try it if I liked. I get the impression from reading on here that its better to aid early rather than acting time - I'm disappointed she didn't flag that to me, and thats why i went for a second ENT opinion.

    I think my audi who Im seeing next Friday does all of those brands, hopefully she will advise me wisely.
    250hz 500hz 1000hz 2000hz 4000hz 8000hz
    L 15 15 20 40 30 45
    R 75 80 80 75 70 95

  10. #10

    Default

    People who have a large conductive loss might have a surgical option. It depends on the cause of the conductive loss. My left ear had lost 80 to 100 db due to otosclerosis. I had the surgery last spring which eliminated the conductive loss. I still have sensorineural loss, but thanks to the surgery my ears are about equal now. Nobody "tricked" me into the surgery.
    Freq: Right Left
    250 40 60
    500 50 65
    1000 50 60
    2000 45 45
    4000 65 70
    8000 9070

    Right: SRT=50 dB, WRS 92% at 70 dB
    Left: SRT=60 dB, WRS 80% at 80 dB

    Had stapedotomy on left ear in May, 2015. Prior to that had a severe/profound loss across all frequencies in my left ear.

    Widex220

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