Hearing aids in but still not understanding words

Posted by lesmelbourne @lesmelbourne, Apr 16, 2023

I'm trialing advanced Phonak hearing aids that amplify beyond 2KHz tailored to my hearing chart, but still have trouble understanding some words. Subjectively, I feel there is no discernible improvement in understanding, or only minimal improvement. Who else still has trouble understanding words and why is this so?

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@unclefreddy

Is there any research at Mayo for stem cell therapy, gene therapy or other modalities for treatment of adult neurosensorial hearing loss?

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That is a great question. I have read about stem cell therapy being promising but if anyone has more to offer the group I would welcome their input.
The United States did not actively start treating hearing loss until 1988. Hearing aids continue to improve but it would be nice to be able to find something else that would cure it.
Are other parts of the world ahead of us with this technology?
Welcome anyone’s comments.

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@zach8051

Are you thinking of auditory training? There are online programs that you can do. Amptify is one of them, & I think there are others as well. It’s something you can do on your own, without being in a clinic for:
https://amptify.com/

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Thank you!!!Great tip and with a link for starters.

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@beryl2

Les the tinny sound was my first impression 10 years back and made me think that wearing hearing aids was more trouble than it was worth so didn’t wear them. Wrong I should have. Fast forward 5 years and I started to wear them regularly and eventually the tinny sound decreased although sometimes voices on the tv are not normal. My hearing loss I would say at 83 is severe not for sounds as I can hear the cooking alarm from a distance when my non hearing aid husband can’t but word recognition has plummeted in one ear in particular. Down from 90% to 40 % such that my audio sent me to the ENT to do an auditory brain response test to check for a tumor I presume. He said “nothing” and put it down to an aging auditory nerve. I am wondering whether in fact any newer aids (mine are Phonak Audeo of 3 years ago) would honestly make any difference. When I got the Phonaks I couldn’t say they were any better than my Oticons of 7 years back but they were smaller. I am now at the stage of wondering whether to check out newer ones.

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I have had phonaks, widex beyond and now oticon REAL and while they all have specified "programs"or "features" that are supposed to make them special and unique I have come to the opinion that all they really do is amplify sound. Some of the features work to some degree and others not at all. My only suggestion is that you give them a workout during the "trial" period (30 days by law in FL, 6 months at Costco) and see which are most effective with minimum adjustments.

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@chas24

I have had phonaks, widex beyond and now oticon REAL and while they all have specified "programs"or "features" that are supposed to make them special and unique I have come to the opinion that all they really do is amplify sound. Some of the features work to some degree and others not at all. My only suggestion is that you give them a workout during the "trial" period (30 days by law in FL, 6 months at Costco) and see which are most effective with minimum adjustments.

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The trial period offered is extremely important, and it varies between providers. Know what it is and use it wisely. Only YOU know where you want to be able to hear and participate. Too many people get frustrated when first fit with hearing instruments because they sound 'different' and can be somewhat annoying. Hearing aids left on the dresser don't to anyone any good! Get past that and use the trial time to experience them in all places where you usually spend time. It takes time for the brain to adjust to hearing a different way.

Family outings, movies, church, meetings, social events, restaurants, etc. are all places where hearing loss frustrates us. Far too many people with adult onset hearing loss become reclusive. That relates to choices we make. It also affects relationships with other people. When a formerly outgoing person becomes reclusive it can appear to be cognitive decline. The reality is you have to work to adjust to hearing aids. Be proactive in helping yourself. That also helps other people in your life. Good luck.

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@chas24

I have had phonaks, widex beyond and now oticon REAL and while they all have specified "programs"or "features" that are supposed to make them special and unique I have come to the opinion that all they really do is amplify sound. Some of the features work to some degree and others not at all. My only suggestion is that you give them a workout during the "trial" period (30 days by law in FL, 6 months at Costco) and see which are most effective with minimum adjustments.

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I've had several brands also. The all had ways to program for 'restaurt"ant' 'noises' 'wind' 'tv' etc. However, none of them helped me better understand speech. The industry as a whole markets a lot of hype. I can hear on a one-to-one basis but in group situations, I don't do well. That is a common complaint. I don't quite qualify for implants. I do have a Phonak microphone device that a teacher, guide, lecturer, dinner partner, etc. can wear that will direct their speech into my HA. That works.

But the first company that makes a device that 1.) specifically picks up human speech while 2.) suppressing all other sounds and noises would make a fortune.

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@julieo4

The trial period offered is extremely important, and it varies between providers. Know what it is and use it wisely. Only YOU know where you want to be able to hear and participate. Too many people get frustrated when first fit with hearing instruments because they sound 'different' and can be somewhat annoying. Hearing aids left on the dresser don't to anyone any good! Get past that and use the trial time to experience them in all places where you usually spend time. It takes time for the brain to adjust to hearing a different way.

Family outings, movies, church, meetings, social events, restaurants, etc. are all places where hearing loss frustrates us. Far too many people with adult onset hearing loss become reclusive. That relates to choices we make. It also affects relationships with other people. When a formerly outgoing person becomes reclusive it can appear to be cognitive decline. The reality is you have to work to adjust to hearing aids. Be proactive in helping yourself. That also helps other people in your life. Good luck.

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Hearing aids take time to adjust but they are worth it.
Be sure you return to your hearing provider for more help. People with hearing loss are thought to be slow when they cannot hear well. I know as I have been hard of hearing since age four. I am 89 year old now.
Hermine Willey

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@lesmelbourne

Thanks, Julie, for the info on REM. I think my audiologist did that on my second visit to fit the Phonak. I'm at around week 3 and my word comprehension has not improved significantly, if at all. It sounds as if I need to be patient and wait for some more weeks yet.

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I have worn hearing aids 12 years..still dont understand all words ..audiologist says there is damage to a part of inner ear that hears consonants.
So those sounds are missing.

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At 82, I've had hearing aids for 10 or so years from various providers, currently COSCO where I was told that a 25% loss in speech distinction was permanent and not treatable. Sound yes, words no. Is there anything else out there?

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