The Most Important HEARING AID Video You Will EVER Watch! | What is Real Ear Measurement?

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  • Опубликовано: 14 июн 2024
  • Dr. Cliff Olson, founder of Applied Hearing Solutions in Anthem Arizona, discusses Real Ear Measures (REM) which is the one thing that is more important than the hearing aids you wear. Real Ear Measures, or Real Ear Verification, is the ONLY way to ensure your hearing aids are fit appropriately.
    Find a great hearing care provider at hearingup.com/providers
    Visit Dr. Cliff's Phoenix Clinic at appliedhearingaz.com/

Комментарии • 705

  • @DrCliffAuD
    @DrCliffAuD  6 лет назад +53

    Does your hearing care professional do Real Ear Measures?

    • @kathimestayer7475
      @kathimestayer7475 6 лет назад +5

      well, yes, but she couldn't get the probe into one of my canals. Is there a solution?

    • @idaliamiller8869
      @idaliamiller8869 6 лет назад +5

      No she didn't , my 13 year old woke up on Christmas Day last year with sudden hearing loss in left ear, it took us 3 weeks to get to see an audiologist and they put her in this room but they didn't put anything in her ear like in your video.. They give her a Phonak cross aid that she hasn't use, we went last week and ask about the rechargables HA she said they would not work on her. Thank you for your awesome videos

    • @eshoalts9205
      @eshoalts9205 6 лет назад +4

      No, this was not done before I purchased my hearing aids. I had sudden sensorineural hearing loss in my left ear in Dec 2017 and was finally taken seriously and treated 10 days later. I regained some hearing (loss in left ear is moderate) and it appeared I had some mild loss in my right ear (probably had bilateral mild hearing loss previous to the SSNHL). I got hearing aids in March and although I hear better by the end of the day everything sounds very tinny and I can't wait to take them out. I also feel like I can't hear very well with the left one. I have been back but there is no solution for me. Now the three month point where I can return them has passed. This makes me very upset. This probably would have resulted in a better result for me. Lots of money and now I am stuck.

    • @dwinsemius
      @dwinsemius 6 лет назад +5

      Yes. And since it was at Costco the price was more attractive than other vendors. Your information does look very credible.

    • @GenX.Bigfoot
      @GenX.Bigfoot 5 лет назад +2

      NO! And I want to find someone who does.

  • @jamesmallard3386
    @jamesmallard3386 4 года назад +23

    I've been wearing hearing aids for 52 years and this addresses exactly the question I have always had and never been able to verify that the aids I am wearing are doing what they are supposed to be doing. The eye glass analogy is perfect.

  • @sharonnash6062
    @sharonnash6062 6 лет назад +53

    Dr.Olsen, You have made a great set of videos that are truly honest, non-biased, and you aren't trying to sell me "your brand". You are a rare human being committed to education and are as honest as anyone I have ever met. I wish I lived in AZ so I could meet you. Thank you so much, Sharon

    • @zydeho
      @zydeho 5 дней назад

      obviously a biased comment

  • @alanm.6096
    @alanm.6096 4 года назад +41

    Cliff: I thought I should put a plug in for you and your educational videos. I went in for my first hearing aid meeting with a local supplier. The audiologist was a tad stunned with the kinds of questions you helped me prepare for her. She told me it was quite refreshing and that less than 10% of her clients did enough preliminary research. I drilled her with questions from your videos and then she asked me where I was getting all my information from. I told her. She said 'ah Cliff ! Yes- everyone should make time to watch all those videos.' So there you have it, a professional with a masters in audiology recommending your materials. I should also add that the knowledge helped me to negotiate a much lower cost for my Phonak Marvels along with all the accessories thrown in.
    So thank you, and lets hope more people invest their time in seeking out your help. And best wishes for a growing business.

    • @DrCliffAuD
      @DrCliffAuD  4 года назад +4

      Love it Alan! Looks like you struck gold with your new hearing care provider as well!

    • @1brandy1946
      @1brandy1946 3 года назад

      Alan, I did the same thing with prepared questions and my audiologist was stunned and pleased that I was prepared so well and he also knew about Dr. Cliff. LOL

  • @gchristopher1000
    @gchristopher1000 4 года назад +14

    I am currently in the process of getting my first Hearing Aid. I was lost until I stumbled upon your video series. Thank You for all the great information. At least now I have a good idea of what to expect and more importantly; what to ask.

  • @danleonard3600
    @danleonard3600 4 года назад +4

    I want to give a huge thank you for doing these videos. I have been working with tru hearing trying to find a provider to get new hearing aids. There were only 2 local providers and neither said they could do real ear measurement. After I told them that was a deal breaker and cancelled they said one provider had the equipment in another office and could do bring that in for my fitting. Without your videos I wouldn't have known what to ask for and demand an appropriate fitting. THANK YOU.

  • @albertvega1542
    @albertvega1542 5 лет назад +6

    You are awesome! Thank you for taking the time to make such informative videos. My wife and I feel smarter and better prepared for our son's hearing aid fitting. Keep grinding my man!!

  • @gabrielgil8441
    @gabrielgil8441 4 года назад

    Thank you Doctor Cliff. The information you provide is of enormous help. This particular video has been the most helpful for me

  • @riverbender9898
    @riverbender9898 5 лет назад +6

    You hit that one right out of the park! I really appreciate your fact-based approach. Thank You.

  • @rubentrevino4742
    @rubentrevino4742 6 лет назад +7

    Thank you so, so much for your formation I know I'm being lead to the right hearing aids ..

  • @user-gr1th4tm7k
    @user-gr1th4tm7k 3 года назад +3

    I whish I knew about you when I visited Arizona! I am wearing my hearing aids for 6 years and you're the first person to tell me about REM! I thought I found a good clinic before I started watching your videos. Greetings from Kazakhstan!

  • @jro6404
    @jro6404 6 лет назад +2

    Dr. Olsen, thank you for instructing me on this new hearing aid world and foremost thanks for caring!
    Take care

  • @akusantafe
    @akusantafe 5 лет назад +6

    Outstandingly clear description of Real Ear Measures, what they are and what the process of making them involves. Thank you for this information!

    • @alezinha1950
      @alezinha1950 4 года назад

      Do you have any recommendations for a professional in Austin TX?

  • @ThePuppymomma
    @ThePuppymomma 7 месяцев назад

    I am so grateful that you made this video, and steered me to view it. I am going for my hearing aid fitting Tuesday for my first time ever. I just downloaded, and printed best practices to take with me. And I downloaded your 2023 guide I am going to read when I wake up tomorrow. Everybody needs a Hero now and then. Thank you for being mine, Mandi

  • @L1D9M69
    @L1D9M69 6 лет назад +3

    I really enjoyed watching this video. It explains a lot of information that I would of never realized.

  • @kwanlaw1312
    @kwanlaw1312 5 лет назад +2

    Hi Dr C & everyone. WOW! Repeat WOW! I came across your videos by chance. I've worn hearing aids in both ears for 32yrs - BTE, ITE, HS & 2x CIC. I've watched 12 videos so far, I have to say WOW! I've learned more information in ONE hour - How is it possible that I've not given (most of) these important information?

  • @Richard-mz7qu
    @Richard-mz7qu 3 года назад +8

    I was just diagnosed today with severe hearing loss. I am in need of hearing aids. I have to say, I have binging on Dr Cliff's videos and learned so much in the last 3 hours. Thank you Dr Cliff! The audiologist I saw today didn't mention any type of followup with hearing aid selection, fitting or anything. I literally walked out the door knowing I have severe hearing loss and I was told I need hearing aids and that was that. I am so thankful that I found your video and website. Your "find an audiologist" was exactly what I need. The audiologist you suggested in my area looks great. As soon as I have a better idea of my insurance benefits and coverage regarding hearing loss, I plan to setup an appointment. Thank you again for all of your amazing information and guidance. If I lived in your area, I would for sure be visiting your office.

    • @BluezFan91
      @BluezFan91 Год назад

      This is exactly my experience at my first audiologist appointment. I got my first hearing test and hearing aids at Costco. After awhile I wanted to visit a real audiologist and get their opinion. Gave me the test said you have hearing loss, and I need hearing aids. Lol. Thanks Dr. Obvious. The gal at Costco was was way more helpful.

    • @pamelapage5084
      @pamelapage5084 5 месяцев назад

      Hi dear, I live in Maine, a phonax hearing aid is awesome to have, you go to a appointment and you need a cell phone they check your hearing and they set you up with a hearing aid they fit you with one or two depending on what you want, you can ask me anything you want to know, if I know the answer I'll fill you in, just trying to help, in my area they are around 1000. Dollars for one they could be a little more I'm not sure on two, my insurance paid for mine, have a wonderful day

  • @donald1425
    @donald1425 4 года назад +6

    I sure wish I lived in Arizona! You are phenomenal!

  • @TB6491
    @TB6491 6 лет назад +3

    Great information and the public should know!

  • @mijodo2008
    @mijodo2008 4 года назад +2

    Excellent Advice delivered in a common sense way. Cheers from Michael. Australia.

  • @debmellon5
    @debmellon5 5 лет назад +2

    Thanks for these educational video's. So very helpful! Wish you had a practice in the Philadelphia area!

  • @DarrylDomani
    @DarrylDomani 6 лет назад

    Wonderful informational video, Doctor Cliff. Kudos!!

  • @ebblue81
    @ebblue81 6 лет назад +4

    Best info I have ever gotten in #4 years of wearing hearing aids. Acceptance is what I have always known growing up my whole life.

    • @basilmoore47
      @basilmoore47 5 лет назад

      do you imply to accept aid, as it is and get used to it without hearing well?

  • @nancyhobson9710
    @nancyhobson9710 4 года назад +1

    Thank you. That makes a lot of sense. Having lived a large portion of my adult life with a person having just this particular problem, I do understand

  • @warismohamud8888
    @warismohamud8888 5 лет назад +4

    Thank you 🙏 for your information.

  • @GoldbergJeffrey
    @GoldbergJeffrey 4 года назад +5

    Cliff, I just watched your review of the Oticon OPN S and found it very informative. As a wearer of Oticon OPN hearing aids, I regret that my desire for upgrading overwhelmed my life learned patience for new products. One comment not about the content but about the presentation. I presume many of your patients are elderly. After all, as we age the look of hearing aids is outweighed but the need to hear those around us. That said, the content you're delivering goes by so quickly that I often found myself a few sentences behind you. Thank you for providing this information. As a former participant in this industry, it appreciated and well done.

    • @DrCliffAuD
      @DrCliffAuD  4 года назад

      Thanks Jeff. I'll try to do better.

  • @saywhathearing5761
    @saywhathearing5761 6 лет назад +11

    Gold!!! Thank you very much for sharing this information with us Dr. Olson. There is a lot of very valuable information here!

    • @DrCliffAuD
      @DrCliffAuD  6 лет назад +3

      Thanks! This is my favorite video.

  • @RODNEYSHARM
    @RODNEYSHARM 4 года назад

    excellent video Dr. Cliff....i learnt alot...thank you

  • @Wokanshutaiduo13
    @Wokanshutaiduo13 3 года назад +3

    Very relieved to see after watching this video that my audiologists have always done real ear measurements. Which is a good thing since I've been wearing hearing aids since I was 5!

  • @cnicklo
    @cnicklo 6 лет назад +2

    This is an incredibly helpful video. Thank you!

    • @DrCliffAuD
      @DrCliffAuD  6 лет назад +1

      My pleasure Chris! Of all my videos, this is my favorite.

  • @betulozer7000
    @betulozer7000 5 лет назад +19

    Hİ,
    I am an Audiologist from Turkey.Your videos are really really wonderful.Thanks for sharing your experiences and informations !!! GREAT JOB 😊 I have just subscribed your channel.I am looking forward to see new videos 👏

  • @SuperRugby11
    @SuperRugby11 5 лет назад +2

    Doctor, tank you for great info. I am will get one soon, and this info bring me up to speed about these

  • @davidfolts5893
    @davidfolts5893 4 года назад +6

    Thanks for all the helpful info Doctor Cliff, having your level of expertise to listen to is a game changer.

  • @sassyseniorjojo8333
    @sassyseniorjojo8333 5 лет назад

    This is awesome. I have just begun my search for hearing aids...let the fun begin. Thank you for taking the time to create this video. I have subscribed and I've already watched the three big lies...again thank you.

  • @nellysagundo6634
    @nellysagundo6634 10 месяцев назад

    Thank you for this very informative video!

  • @matsuz100
    @matsuz100 2 года назад

    Pure gold information, thank you.

  • @brucegerman3270
    @brucegerman3270 4 года назад

    Great video - thank you Dr!!

  • @jlfossey
    @jlfossey Год назад

    I'll get soon my first hearing aids. Your videos were very helpfull from the beginning of my journey. Thank you from France.

  • @nonacee5065
    @nonacee5065 5 лет назад +1

    I'm getting hearing aids next week and I asked my audiologist if he did REM and he said it's compulsory in Australia. It's just as well because I mentioned Dr Cliff who'd said to walk away if rem isn't done. I mentioned I watched 'dr cliff aud' to acquaint myself on everything I need to know and he said that he watches him as well and was pleased that I'd researched as much as I had.

  • @darylmorse
    @darylmorse 5 лет назад

    Great video. Thanks very much.

  • @kenjiito1
    @kenjiito1 6 лет назад +29

    Wow.... THANK YOU for this. I've been researching like crazy the last month about how to treat my hearing loss. Your videos are so clear and concise that i'm starting to really understand what to look for with hearing aids and the clinics that prescribe them. I also have very poor vision so the part about having "good enough" care is so relevant to my life right now. I'm tired of just excepting "good enough" care and trying to research as much as i can before i make the appointments with the clinics.
    If i lived in Arizona, i would come to your clinic in a heartbeat. Again, thanks for the help.

    • @DrCliffAuD
      @DrCliffAuD  6 лет назад +3

      Thanks Kenji. I'm glad you like the videos! If you have any specific video requests, let me know. Thanks, Cliff

    • @hnutterjr
      @hnutterjr 4 года назад

      I Received my Phonak V 90 Aids from Th VA . They don't do Real Ear, Can I go to another provider that will ?

  • @blackieray5621
    @blackieray5621 3 месяца назад

    Thanks! Very helpful. I had no idea

  • @nancyvanbeest7989
    @nancyvanbeest7989 2 года назад

    You are amazing. Thank you.

  • @jason002YT
    @jason002YT 6 лет назад +1

    Great video, thank you!

  • @brendaw1235
    @brendaw1235 5 лет назад +11

    Hi Dr. Cliff, AuD. You can thank
    professionalvideos
    for the fact that I just hit "like" and "subscribe" to your video. And the reason is, because, he LOST the argument and you were proven right! (in my eyes) I became hearing impaired due to brain surgery. Been to many audiologist and never heard of rem? However, I had appt. with new audiologist just yesterday and from your video i watched; she did the rem test. :-) Keep up the good work, looking forward to more videos! ps going to check out the Oticon opn cic? Am in phonak now bte.

  • @anniesmith2
    @anniesmith2 7 месяцев назад

    Thank you for this video..I was really curious on how this test works. It seems to be the key to good fit.

  • @michealhartman6407
    @michealhartman6407 5 лет назад +6

    Dr. Cliff is spot on with REM. Having used REM for 33 of my 37 yrs...it has been more them helped to maximum the patients residual hearing...and yes the results are repeatable ...and it has helped to fix poor fittings...I would certainly insist your practitioner utilize this tool for proper fitting

    • @kathleenreade8885
      @kathleenreade8885 5 лет назад +2

      Can someone on the site let me know how to get the REM test when my provider has the prescription and adjustments on his computer? I don't think they are "locked" which I just learned about today from the video. I have a secondary hearing loss from medication and although hear better, I do not necessarily have enough clarity to understand. I do not have that problem without hearing aids. Unfortunately I found Dr. Cliff and his wonderful information just after the trial period ended.

    • @pattierogstad6608
      @pattierogstad6608 5 лет назад

      Kathleen, you should be able to call the hearing aid manufacturer and find providers in you area by zip code. Call the clinics given to you by the manufacturer and ask if they do real ear measurements. If not “locked” they can read your hearing aid settings into their computer and run real ear and make adjustments accordingly! Bringing a copy of your Audiogram(hearing test) is advisable. Please note: You should expect to be charged for those services since you didn’t buy the aids from them. Good luck to you.
      You could also google clinics in your area. Many times their websites will list what brands they carry and services they offer.

  • @WeekendWisdom
    @WeekendWisdom 4 года назад +2

    Mondo cool info. Reminds me of the old adage: "Trust (but verify)"

  • @oldranger649
    @oldranger649 4 года назад +1

    been looking for a long time for my artillery-deaf brother-finally!

  • @jpwpropertycare.drivewaysa285
    @jpwpropertycare.drivewaysa285 4 года назад

    I have been a sufferer of tinnitus for three-years disability-an But it does get better I think our bodies brain does heal it so we can liberate God bless all of you

  • @hardialsingh6779
    @hardialsingh6779 2 года назад

    ਇਸ ਕੰਮ ਵਿੱਚ ਬੜੀ ਗੜਬੜ ਹੈ ਜੀ। ਕੀਮਤ ਬਹੁਤ ਵਧਾਈ ਜਾਂਦੀ ਹੈ ਅਤੇ ਲੁੱਟ ਖਸੁੱਟ ਕੀਤੀ ਜਾਂਦੀ ਹੈ ਜੀ।

  • @hakimzin2366
    @hakimzin2366 4 года назад +1

    Hi Doctor Cliff, thank you for your video regarding REM, it is very informative.
    What if, the patient refuse or doesnt like the prescription done using REM?
    Sometimes they report of to loud, too sharp/ metallic sound, i really appreciate your advice.
    Thanks again.

  • @Tinstar2
    @Tinstar2 5 лет назад +7

    I am so thankful for your videos. I had my hearing test done yesterday and I had made several notes to take with me to the audiologist. I have pretty bad tinnitus and I also have severe hearing loss in the upper register. One of the questions was if she does real ear measures. She smiled and pointed to a box under her desk and commented that she had just gotten the equipment to do real ear measures and she intended to be trained in how to use it and be up and running with it in about a month. I chose the Phonak Audeo M-R 90 RIC rechargeable. We are going to do the fitting for the time being and just as soon as she is up and running with real ear measures, I will be back in the office for that fitting. I mentioned that I learned about how important this was by watching you on youtube and she grinned and said, yes, I watch him also. He is terrific. So...thank you so much for your very informative videos. I have learned so much...and so has my Audiologist!

  • @morgankennedy6708
    @morgankennedy6708 5 лет назад +1

    My mother really needs hearing aids but doesn't want to spend the money. I think with the new technology I might be able to convince here, although she is not a smart phone user. This video was super helpful. Thank you!

  • @thebossman60
    @thebossman60 3 года назад

    Thank you for this video.

  • @joeyaguzin8013
    @joeyaguzin8013 3 года назад +1

    You did a GREAT public service with your videos. Your videos are clear, concise and fair but most importantly, INFORMATIVE and ACCURATE. Thank you. I will share this with my brothers & sisters of MARINES-FIND YOUR PLATOON.

  • @isofrata
    @isofrata 5 лет назад +2

    Thanks a ton

  • @sokdo
    @sokdo 6 лет назад +1

    Can you change the frequency of the music you use in the beginning and end. My dog hates it when it hears the high frequencies and wakes up.
    Your video's are very informative and thank you for taking the time to make them. I have learned a great deal about hearing loss and hearing aids due to your video's. Keep up the great work and thank you for being an honest health care professional. You truely seem to care for your patients. REM video is great! One of the most informative and very important aspect of treating hearing loss today.

    • @DrCliffAuD
      @DrCliffAuD  6 лет назад

      LOL. Sure Ian, just send me a few 6-8 second "catchy" sound clips that I can use for the intro and outro and I'll give them a shot!
      Glad you enjoyed the REM video. It is the ONE thing that every hearing aid wearer should know about! Please share it!

  • @paula3280
    @paula3280 4 года назад

    Terrific information.

  • @jrstf
    @jrstf 5 лет назад +13

    He really does tell us what Real Ear Measures are beginning at 5:40. They are measuring the sound inside the ear to ensure the frequency response of the hearing aid matches the prescription frequency response when the aid is in place.

    • @sanjayjoseph2001
      @sanjayjoseph2001 5 лет назад +2

      thank you I was losing patience with this video..

  •  4 года назад

    thank you for sharing this information. :)

  • @zeligtheodorovich7403
    @zeligtheodorovich7403 2 года назад +3

    This is a wonderful video. Thoughtful, well presented, and targeted at exactly the right recipients. The bottom line is to try to maintain an open mind in seeking the best hearin AIDS. Don't simply run to Costco, because of low prices. You may get a better result from an independent audiologist/retailer. Price is important, but should be down on the list of variables, not top of the list. I made the mistake of starting at Costco. For me....a bad decision.

  • @leomickey9672
    @leomickey9672 5 лет назад +2

    That was the most informative video ever. I really appreciate the time he took to explain everything. Thank you so much!

  • @michaelness1220
    @michaelness1220 4 года назад

    This has been a revelation as i did no know that this test should be done as i have always had trouble hearing properly with my aid in one ear as it seems not to amplify as the other ear keep up the good work

  • @D7460N
    @D7460N 6 лет назад +2

    Dr. Olson, thank you so much for this information. Would you have a recommendation for an Audiologist in the Northern VA area that performs REM and other best practices? Thank you again.

    • @DrCliffAuD
      @DrCliffAuD  6 лет назад

      What specific cities are you close to?

  • @mcfrdmn
    @mcfrdmn 5 лет назад +1

    Very interesting video !

  • @frankharenza7036
    @frankharenza7036 6 лет назад +1

    Real good info about real ear measures. Wish doc was in my area.

    • @DrCliffAuD
      @DrCliffAuD  6 лет назад +1

      You probably have a good audiologist in your area. You just have to find them.

  • @johnlutz9275
    @johnlutz9275 2 года назад +1

    DR CLIFF. YOU HAVE MY RESPECT.!!! THESE VIDEOS ARE AWESOME.. I THANK YOU,SO MUCH.. AND THANK YOU FOR LETTING US ALL KNOW ABÒUT ALL THE RIF-RAF GOING ON. IM NOW BUYING NEW PHONAK-P-90 . PARIDSE ADEOS. CANT WAIT.THERE BEING SHIPPED . AGAIN WE ALL NEED YOUR VIDEOS.. GOD BLESS YOU.!!! JOHN..MINNESOTA

  • @leslieanne955
    @leslieanne955 6 лет назад

    Your channel was the first to populate when I search hearing aid technology. Your videos are very informative, thank you!! I wish you had an affiliate in Dallas!! I’ve decided to seek treatment due to surgeries for antibiotic-resistant ear infections when I was little.
    I have tiny ear canals that most of my doctors over the years have said, “whoa, you’ve got tiny ear canals!” 😬

    • @DrCliffAuD
      @DrCliffAuD  6 лет назад

      Hi Leslie. Thanks for the kind words. Yes, treating hearing loss with small canals is difficult but not impossible. Don't let that discourage you!

  • @happytx1860
    @happytx1860 5 лет назад +6

    This should be a requirement for a hearing aid testing and fitting. Thanks

  • @satishpuri6701
    @satishpuri6701 4 года назад

    Very good video

  • @jimday2354
    @jimday2354 6 лет назад +1

    great, infomative

  • @jasonlessard2373
    @jasonlessard2373 4 года назад

    I got my first hearing aids last week. With the information from your videos I was able to ask very pointed questions and have a better understanding of the answers. When the Doctor did real ear measures. It was only once. I was expecting more of a process. When I asked she said, they only need one sample to program the units. Is this right?

  • @nolankriegel441
    @nolankriegel441 5 лет назад +1

    I have been hearing impaired since birth, 73 years. In the last 2 years I have decided that the audiologist were not doing their best. This in mind I went to purchasing on line (auction) and programming them my self. I have found that I can do as good a job as they have done with far less money involved. I can see that with a REM unit I could probably come closer to obtaining the hearing solution for my self as humanly possible. The vocal power of suggestion does intimidate us the users in not speaking up because we believe the audiologist is the professional and has the degree and knows more than we do about our own hearing.

    • @luigidragonborn
      @luigidragonborn 5 лет назад

      Could you kindly tell me where you purchase them..the prices for a new pair are ASTRONOMICAL !

    • @vipnetworker
      @vipnetworker 3 года назад

      Luigi R. I helped a relative recently. I researched numerous options available. The best prices by far were available through Costco. Similar if not the exact same models that sell everywhere else for $6,000 to $8,000 can be purchased at Costco for $1,500 to $1,800.
      I don’t know what suction prices are, but I’m sure they don’t come with 100% money back guarantee like Costco has and their amazing service.
      I’m not affiliated with Costco, just a happy customer.

  • @BuddNash
    @BuddNash 4 года назад +9

    Big question: How much does the growing micro-intelligence in the newest Hearing Aids skew the REM based settings? From my research, it looks like each manufacturer has its own algorithms to automatically torque the individual equalizer settings based on the perceived environments and dynamic circumstances at each moment? Overlay those adjustments with features such as noise cancellation, focus, and impact reduction technologies and it is hard to understand how to use REM to accurately "SET" the instruments to a valid baseline setup.
    In the world of older technology HAs the value of Real Ear Measurement is easily understandable. In the new world of intelligent hearing aid technology wouldn't the particular hearing aids under test need a built-in recognition of an in-process REM test (much like Volkswagen's EPA testing awareness) and switch to a consistent set of control parameters while the test is underway? If so, it would seem that they must also have the ability to remember and use those REM derived settings as some sort of baseline around which all future real-world automation is built and controlled. At present, it appears that they only know about the momentary existing environments which must be compensated for. I know that some HAs claim to "learn" how to satisfy the user's needs over time it would appear that over time, whatever REM based setup was established at the Audiologist's testing will become distorted and eventually become unrecognizable and lost.

    • @DrCliffAuD
      @DrCliffAuD  4 года назад +18

      Hi Budd. Valid concern. Typically REMs are conducted with digital features turned off. The main goal of REM is to ensure audibility. Once audibility is restored, yes, digital features can alter the hearing aid output, but after measuring these features myself they have little impact on overall audibility, unless they are intended to, like with directionality depending on position. All tests indicate REMs are extremely effective and important even in modern digital hearing aids with a plethora of digital features active.

  • @rock1953
    @rock1953 5 лет назад +1

    Just purchased Signia charge n go based on what the audiologist picked for my hearing loss. Where are these on your list?

  • @johnbenfatti7243
    @johnbenfatti7243 5 лет назад +6

    Dr Cliff
    Exactly what is a “hearing loss prescription”? How is it determined?
    Thanks so much
    John from Texas

  • @timterramin7403
    @timterramin7403 2 года назад +1

    Hello Dr Cliff: Thank you for sharing your expertise. I have moderately severe hearing loss in both ears and was recently prescribed RESOUND 1 RT 62 which you seem to like. However I am not having a good experience probably because the audiologist has not done real ear measurements. I was sent to him by my medicare insurance and feel like returning the aids and searching on my own for someone else. Can you recommend a hearing care professional in NY NY? I looked at your list but the closest audiologist was very far from me. Maybe some of your readers have found someone. I would be so grateful to hear from you or anyone in NY NY. Thanks so much!! Tim Terramin

  • @theafroathlete
    @theafroathlete 5 лет назад +3

    If you are using a manufacturer's prescription formula, is there any point using REM when the REM target is based on a different formula (NAL-NL2)?

  • @ljguarnieri4439
    @ljguarnieri4439 Год назад

    First, Thanks for the informative videos. I always pause your videos so I can take notes. I'm a new hearing aid user and still in the trial period. Will my hearing care provider be insulted if I ask about 'real ear measurement'? My Medicare Advantage program has given me just a few professionals to choose from, so I don't know enough about her to ask her all these questions. I only know that at this point, my hearing aids aren't working for me. I hope she will be open to my informed questions and help me out. LG

  • @jamessherman7797
    @jamessherman7797 2 года назад

    Thank you for the excellent information. I’ve had the hearing aid evaluation and an order has been placed. So, should I expect the real ear measurement to happen upon receipt of the hearing aids or when is appropriate time to ask audiologist about REM?

  • @jennettebrailey9578
    @jennettebrailey9578 5 лет назад +3

    for me, it is all about the performance of the hearing aid, we have our expectations of what we want for our investment, that is why it is important to trial the ones you think you would like or can afford, all aids describe their capabilities , but if not fitted or programmed correctly you are not going to purchase you just keep looking don't be bullied into purchasing if undecided, you
    are under no obligation to purchase if you are not happy with the hearing aids trialled hearing Aids they have to be right..

  • @atillaozturk2996
    @atillaozturk2996 5 лет назад

    Thank you :)

  • @Comet-se1lx
    @Comet-se1lx 5 лет назад +1

    Thank you for this video. Very informative. My provider says they do "live speech mapping" is this the same as REM?

    • @DrCliffAuD
      @DrCliffAuD  5 лет назад +1

      It depends. If they are using uncalibrated live speech then it is not the same thing. However there is a procedure that is called "live speech mapping" that uses a properly calibrated signal that comes from a speaker and is measured to a validated prescriptive target.

  • @shagwellington
    @shagwellington 3 года назад

    I am watching this a few hours before my fitting appt. i am so glad I have seen this. I have a feeling the place I am going to is going to be crap. My insurance is sending me there.

  • @MissWascallyWabbit
    @MissWascallyWabbit 3 года назад +2

    Thanks for this. Going in for my first fitting for reverse slope next week ... hopefully it won't be awkward to ask if this is the method they're using. Do you know why 70% of audiologists don't do this?

  • @Migs3
    @Migs3 3 года назад +1

    Sorry for another question: If I go to an audiologist to get measured, what should I make sure I walk out with? How do I know when it's time to get hearing aids? How do you recommend dealing with the embarrassment of wearing them? I have also seen men not hear at all when they start using hearing aids and for some reason they are not wearing them. Like the hearing loss got much worse.

  • @cathygunther2285
    @cathygunther2285 4 года назад

    Good advice

  • @PuneetKapoor05
    @PuneetKapoor05 6 лет назад +2

    nice video doc

  • @LeNuageux
    @LeNuageux 4 года назад

    Thanks for the video, i'm wearing hearing aids since age 3, as far i can rembember my audiologist had never doing Real Hear Measurement, in the next few weeks i get upgrade from Beltone Legend ( BTE model) to the Beltone Amaze ( RITE model)
    My audiologist said he has used the settings from the older hearing aids and adapted for the new ones
    My question is my actual fitting can work on the new style of hearing aids or i have to ask to make new adjustement from scratch?

  • @leslewis390
    @leslewis390 4 года назад +1

    Hey Doc Cliff
    I need to use hearing aid with ear muff as I work in a plywood mill. I will be using a bi cross.
    Thanks

  • @curiousseeker2265
    @curiousseeker2265 5 лет назад +1

    OH MY GOD. I wish you were here in California. I'm on the cusp of buying new hearing aids and I wish I could visit your clinic immediately for a second opinion. I KNEW IT I KNEW IT I KNEW IT that analog hearing aids were better. I've worn analog hearing aids my whole life (since I was 3 years old; I am 39 now; single-sided deafness in my left w/moderate > profound loss in my right ear) up until around 8 years ago when I had to switch to digital because that's all they made and that's all my current audiologist I've been using for 20 years uses. I've never been 100% satisfied with my digitals especially in noise. I'm using the Phonak NAIDA Q-90 UP w/CROS H2O unit for my left ear. Most of the automatic programming is turned off because I cannot tolerate it and it is made to sound more like analog with linear processing. Which, of course, doesn't quite sound like the old analogs. Oh how I miss it so very much.
    AND: oh how I hate having to open and close the battery door to turn off the freaking hearing aid!!! Why can't I have a switch to turn it on and turn it off when I please? The manufacturers' decision in that regard was the dumbest thing I've ever heard of happening to hearing aids. Sigh. Amazing videos and I will for sure ask my audiologist about real ear testing. I'm usually doing testing in a sound booth for a general audiogram, but I doubt that's exactly the same as what you're referencing. Likely going to get the Phonak NAIDA B-90 and CROS-B.

  • @jonrichardson1595
    @jonrichardson1595 3 года назад

    Dr. Cliff, I love your videos. I am a HIS in N.C. and love my job. I, too, am disgusted by certain practices' incompetence in correctly meeting prescriptive targets. "Target?," they'd ask. Anyway, that's for another day. I wish that I had the thin tube mic tool for the best fit, but as it is, I rely on insitu and speech mapping to get a good fit. What is your opinion on using these methods instead?

  • @saralynnhartman972
    @saralynnhartman972 3 месяца назад

    Thanks for this video. I can absolutely attest to the difference REM can make. I have hearing loss on the left side following brain surgery in 2008. Immediately following surgery I had no hearing and some weird tinnitus that sounded like a lawn mower circling a tree. Within about six weeks I noticed that the tinnitus was gone and I could faintly hear. (My neurosurgeon was shocked that I recovered any hearing.) An audiogram showed moderate hearing loss in lower and upper ranges, and 84% word recognition. At that time they did not recommend a hearing aid, and I adapted by using my right eye for the phone, making sure that speakers were to my right whenever possible, and so forth. The only time I really noticed a deficit was in large open spaces, but for the most part life was manageable. Fast forward 15 years and I noticed I was asking people to repeat themselves more often and scheduled another audiogram. This time it showed moderately severe loss rising to normal at 1000 Hz sloping to moderate at 8000 Hz. Word recognition had fallen to 68% for my left ear but fortunately still 100% for my right ear. This time the audiologist recommended a hearing aid to preserve word recognition. I was fitted for an Oticon Real 1 that was programmed according to the computer program suggestions. I began watching RUclips videos and at my followup appointment asked whether I would benefit from REM. My audiologist enthusiastically said yes, the clinic had just gotten a machine and she would love for me to have one due to my unique situation. In my case some of the adjustments were greater than 10 decibels from the computer model (REM was run twice to verify). It's only been two days but there is a huge improvement.

  • @scottfujimoto9181
    @scottfujimoto9181 5 лет назад

    Does this only apply to the G65 target? Or would you also try to match soft and loud sounds as close as possible in REM too?

  • @pb8601
    @pb8601 2 года назад

    I really appreciate you posting this information. It is very helpful for a profound HOH person. I have a feeling that the next time I go shopping, I’m going to take a lot of time and gasoline finding a clinic that meets the REM standard of care. Why is this? Because it is cheaper and more PROFITABLE for clinics to skip this standard, and it is not mandated by our legislatures who are bought and paid for by the industrial health complex to not regulate these devices at a bare minimum standard. Why does the lay public have to know this information when professional health “care” providers spend years learning and honing their craft? As a healthcare provider, I hope that in addition to teaching the public, you are lobbying Congress for a fairer system.

  • @stevefick3919
    @stevefick3919 Год назад

    Great video. My co-worker got hearing aids a few years back for tinnitus in both ears. I have some tinnitus in both ears as well, I'm guessing age related, worse in my left ear.
    I've never liked earbuds or putting anything in my ears. Drives me crazy. How long would it take to get used to hearing aids? Is there any treatment for tinnitus that doesn't require hearing aids?

  • @smtaubert
    @smtaubert 5 лет назад +2

    I suffer from otosclerosis and it’s difficult for me to hear low frequencies. Can you recommend a in ear hearing aid or external hearing aid for this condition?

  • @AndresSanchez-kq5hv
    @AndresSanchez-kq5hv 4 года назад

    Dr I got a question with which one would you hear better, regular hearing aids or bone anchorage hearing aids?

  • @goldenears100
    @goldenears100 3 года назад

    Great information ! I have Phonak Marvel's! We have been making several adjustments in office for specific listening to music programs! It has taken several visits to fine tune my music programs to sound right to me! I get printouts every visit to see the frequencies that we change! Now the midst and highs sound natural but the bass is weak! It was good up around +10 R 13 L but she changed it to 0 R 1L I think maybe accidentally! Can she adjust just the bass now without changing other frequencies? And should pre testing have already determined what I need? Dr Cliff I am a 64 year old Audiophile and I know what I like sonically! Larry