WORST Hearing Aid Features EVER!

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  • Опубликовано: 28 ноя 2024

Комментарии • 58

  • @carolynodio3288
    @carolynodio3288 3 месяца назад +5

    Bookmarks would be helpful here...
    0:00:00
    0:02:06 Frequency Lowering
    0:07:51 Tinnitus Masking
    0:14:30 Health Trackers
    0:18:46 Ads & Marketing
    0:21:24 Custom Ear Molds
    0:31:00 Bluetooth
    0:36:08 Phonak Roger Receivers

  • @Naw_101
    @Naw_101 3 месяца назад +3

    I completely agree, the fitness tracking features aren’t what I’m looking for in hearing aids. Manufacturers should focus on perfecting the core functionality instead of chasing after irrelevant add ons
    Thanks for the video

  • @sfrink1425
    @sfrink1425 3 месяца назад +4

    Frequency Lowering: While sometimes over-applied by manufacturers, as an audiologist I've found that it actually DOES work right for the right patient audiogram. Generally, it's not beneficial if hearing thresholds are 80dBHL or better, but once those thresholds are worse than 80, you're likely in a cochlear dead region and direct amplification there doesn't help. This is where I've found Frequency Lowering DOES help, and you really can't use REMs to verify benefit. This is actually best accomplished through the use of word discrimination testing in soundfield, and I generally see an improvement of 8-16% in word recognition scores with this feature turned on vs. turned off. I do REMs first, make the appropriate adjustments to the limits of the acoustic coupling (and yes, I do use earmolds or cShells routinely), then use the info from REMs to determine how to set up the Frequency Lowering.
    @Cliff and Crew: Are you actually verifying whether or not Frequency Lowering is helping via soundfield, or are you just going by what the patient is saying? Sometimes patient's initial perception of the sound is not reflective of their potential benefit.

    • @jorgequiroz881
      @jorgequiroz881 3 месяца назад

      veryfit has a test that allows to verify frequency lowering, Noise reduction and directional settings- ... Verifit is THE GOLD STANDART. I believe there are some interesting papers wrote by Susan Scollie woth ready. FUN FACT: The first frequency lowering device was develop by AVR sono (israel) wich was intended for children (early 2000) some even have an integrated FM receiver. Someone here remembers Phonic Ear?

  • @sfrink1425
    @sfrink1425 3 месяца назад +5

    ActiVent: Never had a patient who liked it. Too noisy when it switches between open and closed. Every patient I had went back to standard receivers and were disappointed.
    AND very pricey.

    • @Jetboat2000
      @Jetboat2000 3 месяца назад

      I was curious about these. Now I’m not. Thanks for the intel!

  • @sfrink1425
    @sfrink1425 3 месяца назад +2

    Totally agree with Dr. Cook about the "Fitness" features in hearing aids (heart rate, step tracking, etc.). People who want such a feature usually already have an app in their phone or wear a FitBit that does this already. It's a waste of memory on the hearing aid computer chip; I'd rather it be used on the root purpose of hearing aids: Helping people to hear better.
    Manufacturers need to stop being distracted by fads and focus on their original mandate.

  • @sfrink1425
    @sfrink1425 3 месяца назад +1

    Tinnitus Masking: This can be of benefit if applied appropriately. Current standards do not involve the use of maskers to cover up tinnitus (i.e. "Complete masking"), but rather use of "Partial Masking", where the masking sound is heard in PARALLEL with the tinnitus, not covering it up. Generally, the masking noise is set so that it's actually NOT louder than the tinnitus, but just below it. In so doing, you're trying to habituate the brain to these kinds of sounds so that the tinnitus becomes less annoying, and the patient can possibly receive "residual habituation." Drs. Beck and Cook indicated that when you remove the hearing aids the tinnitus comes right back. This isn't always true. Some patients who use this feature is obtain residual habituation as a result, where their tinnitus is significantly reduced or even eliminated for a certain amount of time. It will come back, but the patient can enjoy silence or near silence for some time, which is often useful for them in particular when they are trying to get to sleep. This doesn't cure their tinnitus (nothing generally will), but it can reduce its impact.
    To me, your issue isn't with the feature in the hearing aid, but rather audiologists who don't apply it properly.

  • @marralchan
    @marralchan 3 месяца назад +1

    Here's a feature I want: ability (without shutting off bluetooth) to turn off phone ringer. I'm in court a LOT (yep, lawyer), and of course turn phone off. Yet when I get a call, it continues to ring in my ear (unbeknownst to others, as it's only in my ears). Why isn't there a setting to turn off phone ringing in ear? (HAs - Phonak Marvel M90R.)

    • @honeybadger8893
      @honeybadger8893 2 месяца назад

      iPhone can do this in SETTINGS. I had this issue and spent days “literally” with support from Apple and finally got a tech who knew their stuff! Yes you have to manually go into settings but I can be done. Best wishes. Now if Apple would just stop all their settings changes without notice or instructions that would be nice.

  • @WMRRFIREBALL
    @WMRRFIREBALL 3 месяца назад +1

    Thanks for this episode. I'm a Phonak user which works great for Android cell and Zoom on the computer. Tried the Oticon but that extra device to connect with Android or computer was a pain in the a**. Too bad because I think it's ability to pick up speech in noise was superior.
    Try this for the Roger receiver transfer problems: get a microwave, any kind, cut off the power cord and place the devices inside for the transfer process. The microwave is a ready made Faraday cage. The idea is to prevent radio waves from passing in or out.

  • @CharlesKemp-oq8ms
    @CharlesKemp-oq8ms 3 месяца назад +1

    I have been wearing aids for 20 years, and I just want to hear as close to normal hearing as possible. I don't want to think about what program my aids are in, I want my aids to work across all environments.
    I disagree with you about the MFI , AHAS Bluetooth, I left iPhone and went to Samsung galaxy S23 and my connectivity with my Oticon MORE1, REAL1 and INTENT1 aids have been so much better than I ever had with an IPhone. Yes I will be glad when ie audio works properly.
    The features I want to go away is the extra programs in hearing aids. The second feature is the need for apps.

  • @AmyCraig-to4li
    @AmyCraig-to4li 3 месяца назад

    Educational audiologist here. I feel your pain regarding the Roger receivers. The good news (for me anyway in the school setting) is that they FINALLY are coming out with the Roger Touchscreen 3, which has the receivers imbedded in them. We’ve always had to upload the Roger X’s into the aids via the “hockey puck”, as Cliff says. Now we get to toss kick that puck to the curb lol The expense, however, is ridiculous. Other manufacturers are much less expensive-albeit not Roger technology however.

  • @sfrink1425
    @sfrink1425 3 месяца назад +1

    I respect and agree with Dr. Beck's issues with the Roger receivers, but the real problem with the Roger system is the COST. It's exceptionally high priced. Yes, it's miraculous what it can do, but it's generally out-of-reach for most patients who would benefit from it. I actually worked for Phonak many years ago and was there when the "MicroLink" system was introduced back in 2000. It was pricey then, it's even more pricey now. If Phonak cut the price in half, they'd sell 10 times as many.
    On another note, the term "Receiver" pre-dates RIC products by about 15 years. So, the problem is with how they replaced the speaker-wire for the hearing aid, not the FM equipment.
    On a third note, Dr. Cook lost her mind a long time before this. ;)
    Just kidding! We love you, Rachel!

  • @sfrink1425
    @sfrink1425 3 месяца назад +2

    2nd purpose of a custom earmold: Retention. Some ears just won't hold a dome in place.

  • @sfrink1425
    @sfrink1425 3 месяца назад

    Agree on ASHA Bluetooth protocols. They generally don't work, especially for some specific manufacturers. They work best with Oticon and Widex, but if a patient has an Android phone, I'll normally go directly to a Sonova product (Phonak or Unitron).

  • @kpHearToHelp
    @kpHearToHelp 3 месяца назад +1

    Dr. Cliff, really? I know you are all about REM and I agree, but there are identifiable benefits for patients who use this feature in our clinic; especially those seniors who enjoy TV watching and have struggles with young voices. We also have verifiable increased word recognition scores with my patients who I fit devices with that feature and retest in 6 months. I so appreciate the passion you 3 have for what you do and it shows; but I also think we as providers can form opinions about features and count them out without considering them for a patient that may benefit from a change. Personally, I feel Phonak preserves more of a realistic sound quality with their frequency lowering sound recover feature........and wearing them myself, I can honestly say no.....female voices DO NOT end up sounding like a "dude" but my seniors can hear their grandchildren's voices-and that means EVERYTHING🦻💔

  • @l1uywpap1
    @l1uywpap1 3 месяца назад

    Liked the discussion. Never had good luck with the Roger system, I keep trying & hoping I’ll find the right solution.

  • @Tfichtenbaum
    @Tfichtenbaum 3 месяца назад

    The pitch shifting you mention is used by many who enjoy listening to music but we lost our higher range and also used for people who have APD where its not a physical ear issue but issue in the brain processing itself , which is using what is called low gain hearing aids .....

  • @elizabethdixon5536
    @elizabethdixon5536 2 месяца назад

    I had the audiologist switch off the frequency lowering on my hearing aids, coz I am a musician and it was messing with the sounds of the piano and other instruments. Everything sounded like a tremolo.

  • @JohnH242
    @JohnH242 2 месяца назад

    So I am new to hearing aids , I have been diagnosed with some moderate hearing loss and I do experience tinnitus on occasion. I am working with an Audiologist that is listed as a Best Practices in Audiology and so far I have tried the Phonak Audéo Lumity L90 for a few weeks and now I am trying the Resond Nexia. For both I see a lot of great reviews for both but that has not been my experience. Sure they both worked in quiet situations but in noisy enviroments both have actually hurt the situation more than helped. I don't understand what is wrong, is it possible I am expecting too much from them?

    • @jessiessica
      @jessiessica 2 месяца назад

      Try the new Phonak Sphere Infinio - these now have the best noise reduction. Custom earmoulds can also improve performance in background noise. Make sure your audiologist does real ear measurements. You also need to give it time to acclimatise, it’s normal for noisy environments go be overwhelming at first. Look for a provider who offers a longer return period so you have more time to get used to them.

  • @Mickey-jn8hz
    @Mickey-jn8hz 10 дней назад

    My insurance is Humana HMO, not the best but all I can afford. They will cover hearing aids for me through Hear USA who have Signia, Rexton and Widex. Now I am not sure about Hear USA but I do bave an appt. with them. I was looking a the number one OTC hearing aid, Jabra and that seemed very interesting and cheaper than the Hear ones, however I am unsure of the service that I can expect from Hear as the Jabra one gives 3 years which to me sounds damn good. After listening to this video I don’t think I will even mention my tinnitus to them as I am not particularly interested in another damn sound being added to my already “repertoire” of different sounds from my T, such as hissing, cicadas and the guy shaking his pocket change etc. You have replied to me in the past Dr. Cliff and I truly appreciate all that you do, wish I was in your area instead of So. Florida….Thank you so very much for all that you do for us hearing impaired.

  • @ilikestuff7598
    @ilikestuff7598 3 месяца назад +3

    Pitch shifting by dropping a full octave it’s not something they have tried yet. The pitch shifting you’re speaking of in this video. They have tried on me and it sucked.
    Someone needs to make a remote mic that goes on your head instead of dangling from your collar, which always ends up pointing at the floor .
    Every time I see these videos, I wanna jump through the screen and shout out a bunch of stuff from my 30 years of experience, wearing hearing aids
    How do I get the hearing aid manufacturers to be asking me about how to make them better ? How can I be part of the testing phase? I wear my hearing aids from the time I wake up time I go to bed. I’m 49 and I would like to think I have a long way to go.
    There are so many things they could do to improve . I think of them all the time. Frankly, I’ve been at the end of my rope and approved for cochlear implants for a long time, but I believe in medical science and I believe in computer science.
    The nightmare you describe with the Roger mic it’s just a metaphor for the entire industry . I must stop commenting. I just wish these people would ask me how to make them.

    • @trs8696
      @trs8696 3 месяца назад

      do you think HAs have gotten better in your 30 years of use? are you happier with them now than you used to be?

    • @ilikestuff7598
      @ilikestuff7598 3 месяца назад

      @@trs8696 well if I answer that honestly, then people in the hearing aid, industry or audiologist, would want to jump in and discredit me by saying my hearing has gotten worse.
      Up until 10 years ago, they were getting better . For the last 10 years hearing aids, I would say the stress has taken. I don’t know how many years off my life. Ever since phones and Bluetooth came along. A standalone close circuit system is one thing. But with phones hearing aid companies, Internet companies, holding companies, compete clauses, proprietary secrets, GPS tracking, used for marketing… empty promises, and glossy boxes.
      It has absolutely gotten horribly worse. And we are not allowed to congregate and say so without someone from the industry stepping in and defending it if we do it online. And where else would you be talking to a fellow hearing aid user?

    • @ilikestuff7598
      @ilikestuff7598 3 месяца назад

      @@trs8696 it deleted my original reply. Absolutely predictable for this question.

    • @jessiessica
      @jessiessica 2 месяца назад

      ⁠@@ilikestuff7598you could not have the aids paired to your phone - not use the app or direct streaming, if you have privacy concerns.

  • @sezbelly
    @sezbelly 3 месяца назад

    Frequency lowering does work but cannot be verified through REM. I use a ling 7 and increase/turn on the frequency lowering and ‘ss’ and ‘sh’ will now be audible where it wasnt before. I have definitely tested this and it works.

  • @JBass33
    @JBass33 3 месяца назад

    I have the Beltone Serene 17 model (equivalent to the Nexus 9). The hearing location function for finding lost hearing aids unnecessarily runs up your cell phone data use. The function that lets the user set favorites for specific locations so the hearing aid automatically adjusts the hearing aid to the location also runs up cell phone data. I have disabled both. They aren’t worth the usage cost and I’m wondering how many circuits are involved with these functions that could have been better used for something else, like Bluetooth connectivity. The HearMax program disconnects from the hearing aids when the iPhone turns on the lock screen. It also disconnects when the HearMax program is running in the background on the iPhone. It can take up to 8 seconds to reconnect to the hearing aids. This is annoying especially if you get a phone call and need to change the HearMax settings. You wait for the app to reconnect to the hearing aids while the person calling is busy saying “Hello. Hello. Are you there?” I haven’t found a workaround for this yet.

  • @CTripodi1965
    @CTripodi1965 3 месяца назад

    I have tinnitus masker option turned on in my hearing aids, but I usually turn it off. I wanted it and my audiologist turned it on for me, but I'm not really needing it, so I turn it off. Sometimes I will turn it on in a quiet environment, but that rarely happens. Diet doesn't work or help bringing the tinnitus down for me. I even cut my coffee intake down, way down, no difference. I find that the hearing aids do a good job without the masker.

  • @Digital-Dan
    @Digital-Dan 3 месяца назад

    Those "receivers" are probably only activation keys.

  • @ilikestuff7598
    @ilikestuff7598 3 месяца назад

    Complaints?
    This is my department . I’ll make sure they cover them all.

  • @anderslagerqvist2642
    @anderslagerqvist2642 3 месяца назад

    I have phonak devices and use them a lot with my Macbook which usually works fine, all my previous devices didn't period...
    It work on both android and iphone and mac. The annoying part is that only two bluetooth devices are supported but I frequently use many devices.
    So bluetooth classic rocks currently. AND I can be like 15 meters(50feet) away from my Mac and be in zoom meeting.

  • @glengosling5636
    @glengosling5636 3 месяца назад +2

    Everyone I know have said , all hearing aids suck . Even the £ 4000.00 ones why?

    • @Jetboat2000
      @Jetboat2000 3 месяца назад

      It takes yrs to learn sounds then yrs to decline. JMO but not hearing birds for a decade and then suddenly hearing birds was shocking. Lol . Hearing your own voice is also shocking. Hearing Biden and Harris is devastating !

    • @anderslagerqvist2642
      @anderslagerqvist2642 3 месяца назад

      ​@@Jetboat2000My hearing aids has been adjusted correctly... So it is Trump that sounds horrible... 😂

    • @Jetboat2000
      @Jetboat2000 3 месяца назад +1

      @@anderslagerqvist2642 they all sound terrible. The least terrible gets the vote

    • @trs8696
      @trs8696 3 месяца назад

      @@Jetboat2000 haha (re. biden & co)

  • @Tfichtenbaum
    @Tfichtenbaum 3 месяца назад +1

    Is there a way to make a rodger mic that can attach to the hearing aid kinda like what you use to clip to your shirt but on to the device itself like an external clip that your carrying on your person , it will make the hearing aid maybe a bit bigger but ya dont have to carry any big external stuff

    • @richa.s9912
      @richa.s9912 3 месяца назад

      The purpose of Phonak Audio Roger-On Bluetooth microphone 🎙️ is to hearing farthest distance and on table in front of you to hear only one subject or multiple subjects on the table with a bunches of people and Roger-On has a main wireless connection to a t.v. audio hookup to stereo Speakers, and your Bluetooth hearing Aides have to operate with Roger-On Bluetooth microphone separately and it may start whistling and making noise by having Roger-On Bluetooth microphone to your hearing Aides that defeated the whole purpose of having a Wireless connection to Roger-On Bluetooth microphone,
      If you want more hearing Aides microphone powers go asked Hearing Aides Dealership AuD professional Audiologist Center and asked Dr.Cliff about it .
      I have Phonak Audio Roger-On digital Bluetooth wireless connection to T.v. audio hookup speakers input and I can walk away 30 feet to my office from my living room where my t.v. is at and also my cellphone computer has Bluetooth that automatically ring in my Phonak Life Audio Digital Bluetooth water proof and sweat proof hearing Aides are rechargeable battery and it totally portable charger to recharge in my truck USB ports and my solar power panels rechargeable batteries charging both cellphone computer and recharging my hearing Aides base charger without any connection to electricity power . I can go camping and hiking and fishing for months without buying disposable batteries to change to .

    • @jessiessica
      @jessiessica 2 месяца назад

      Roger should be worn by the person you want to hear, not by the hearing aid wearer. Old rogers used to use “audio shoes” - physical receivers that attached to the aids. Since the advent of software receivers, the hearing aid user no longer needs to wear anything for a remote mic.

  • @WeibenWang
    @WeibenWang 3 месяца назад

    I'm new to hearing aids, and just got Starkey (BiCROS). Yeah, the fitness features made me laugh. And they even try to measure social engagement. Right now it's telling me that I've had two hours of interaction, even though all I've done today so far is sit in my apartment listening to the news and RUclips. And OMG the translation feature. If I needed that, why wouldn't I just use Google Translate, since I have use my phone anyway? It's not like it's a Babel fish translating everything going into my ears.
    OTOH, ASHA actually works pretty well on my Pixel 6. It connect easily, and stays connected. Yes, it sounds tinny, but I have open domes, so it sounds tinny with MFi on my iPad too. I don't know how much better it would be with an iPhone, but I can't complain, even without hands free phone use.

  • @anderslagerqvist2642
    @anderslagerqvist2642 3 месяца назад

    Another great feature idea that was complete crap is the ability to tap your ears to answer/end phone calls and pause/play streaming.
    Half of the time it worked but most of the time it unwillingly ended my phone calls abruptly.

    • @jessiessica
      @jessiessica 2 месяца назад

      You can have the sensitivity of the tap control feature adjusted to avoid this

  • @jessiessica
    @jessiessica 2 месяца назад

    Why can’t Roger just be a straight Bluetooth pairing? I feel the Roger receivers are a vestige of the old wearable Roger receivers, and they are unnecessarily expensive.

  • @collinbaldonieri6174
    @collinbaldonieri6174 2 месяца назад

    I have Phonax m90 that is 4 years and a feature I thought I was going to like but don't is the T-coil. hat is everyone's thought on this technology. I have major problems with dialect of other languages who learn english. Volume is there but not understanding.

  • @Jetboat2000
    @Jetboat2000 3 месяца назад

    I have Unitron Truefit software and the Noahlink Bluetooth connector. Been through every feature and settled on 75% gain vs prescription. I would love to do an interview with you folks (I am not a tech or an Audiologist). Betcha I could offer some advice from a client with severe loss. Some features are good, some are not.

    • @jessiessica
      @jessiessica 2 месяца назад +1

      You should try having real ear measurements done

    • @Jetboat2000
      @Jetboat2000 2 месяца назад

      @@jessiessica biggest challenge for me is that I only use them for meetings at work. The rest of my work day is with ear plugs or muffs. I suppose I haven't tried hard enough adjust to them. Certainly agree on the real ear measurement! I bought these over the internet so I am kinda hamstrung.

    • @jessiessica
      @jessiessica 2 месяца назад +1

      @@Jetboat2000 wearing them as much as possible is crucial to acclimatise properly and maximise your comfort and hearing outcomes. If it’s impractical to wear them throughout much of your work day, you should otherwise be wearing them as much as you can - before & after/to and from work, on weekends, at home - even when you are alone & not listening to anything.

    • @Jetboat2000
      @Jetboat2000 2 месяца назад

      @@jessiessica I'm a Mechanical Engineer. Gadgets and gadgetry are great for my curiosity. To potential buyers/wearers, Go To a Brick and Mortar doctors office!

    • @Jetboat2000
      @Jetboat2000 2 месяца назад +1

      @@jessiessica Thanks for your replies! I highly recommend to everyone reading this to stay away from internet hearing aid sales. The programming is "first fit" recommendation from the mfd, after that it's trial and error until the patient shuts up and stops asking questions. You will end up thousands in the can and constantly wonder "am I missing something". Brick and Mortar is the best way

  • @lewis71980
    @lewis71980 3 месяца назад

    Roger receiver should be called a software dongle or licence

  • @Digital-Dan
    @Digital-Dan 3 месяца назад

    Manspreading Alert.

  • @wouterwurth5160
    @wouterwurth5160 3 месяца назад

    Loves himself talking