Hello everyone. Not quite sure where to start with this discussion, so will share what I often share with people who are considering hearing aid help. It's a shame the system is so confusing. Audiologists and hearing instrument specialists do basically the same thing. Add over the counter hearing aids to the mix and it gets even crazier.

Everyone should know that those who are audiologists with an AuD after their name, have doctorate level degrees in the field. Hearing instrument specialists (HIS) may have no more than a high school diploma, but have likely served an internship of some kind. Costco, Sams Club, and other 'big box' providers employ providers at both levels; AuD and HIS. Not every Costco has an audiologist on staff, but within their corporation they have AuDs who do training. Confusing, right?

Hearing aids are incredibly expensive. Paying $5000 + for a pair of well fit hearing aids is not uncommon. It's important to know that proper fitting isn't an exact science. Everyone's hearing loss is different. Ear canals vary. A bit of aural rehabilitation and counseling can make a big difference. YOU are the only one who can decide whether what you are getting with hearing help is helping you.

Real ear measurement is extremely important, but many providers don't do it. Many don't even have the equipment to provide it. Of course if you buy OTC you are not going to get it.

Reality is, YOU have to decide whether or not the hearing instruments you purchase are helping you. If they are not, take them back. Of course that means you have to have a plan that allows you to return them.

The best way to know if hearing aids are making a difference is to use them in all the places you want and need to hear. Even well fit hearing aids will not bring back perfect hearing. They are 'helpers'. Do they help you? Do they make a difference in noisy settings. Are they improving your social life?

Back to the beginning here. Do you think a provider with a doctorate level degree in the field might be able to provide greater support than someone with less experience and education?

Lots to think about. Keep trying if your first 'try' isn't successful. Most people can and will get good help from modern hearing aids that are well fit and adjusted to the diagnosed hearing loss.