← Return to Urgent suggestion need for my Phonak Lumity hearing aid fitting.

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@imallears

@luoxihappy

I wear Phonak Nadias UP 90 having a profound hearing loss. Phonaks are one of the most powerful aids around. Do you wear one or two?

Your present programming still needs to be adjusted. I remember hearing those exact same sharp, cringing sounds. My Audi was an excellent programmer. I would describe , in detail, what situations and where you are having the discomfort….write them down. Have her do some simple tests like crinkling paper or something similar and even walk outside with her or in a corridor so she has first hand experience of what you are hearing. My Audi did that.

The noise reduction programs are really no good as far as I am concerned and I rarely use mine. I often turn the sound down a tad and understand what you mean when you say the clarity of voice perception goes down too. That’s when you really have to concentrate on the speaker. This is where a good programmer is needed. There is a fine balance between the power of the aid and the clarity you are looking for. I suspect these aids in their current programming are too strong for you and may have been appropriate for someone like me with a profound loss. Your frequency level sounds too high and made need to be taken down a notch.

Also…I wear full custom ear molds that prevent any sound from leaking out. Ask your Audi if changing the ear dome or mold would make a difference. You can trial new ones also.

None of us with hearing aids will ever function in noisy environments the way we wish we could. Focus first on getting that programming the exact way you want regardless of how many time you have to go back. And have that piece of paper with all the situations where it is just too loud or you are uncomfortable. She should be able to balance things out but you may have to give and take a little on volume vs clarity.

When you have to lower the sound…give it a little time to get use to it…would be wonderful if it was just a volume issue. Also turning the sound down on your part manually is different than having her do it in the program…it’s best to have her do.

I was thinking of the Lumity for myself also. I’m a long time Phonak user precisely because of their power and I have tried all the best brands.

The Audi can also consult with the manufacturer at Phonak….another thing my Audi did…..and they may be able to suggest something if she is getting frustrated. Have her call while you are there. When you make the next appointment…mention to whoever that you will be needing her time for at least an hour.

Hope I didn’t ramble on too much .

FL Mary

Hope I didn’t ramble on.

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Replies to "@luoxihappy I wear Phonak Nadias UP 90 having a profound hearing loss. Phonaks are one of..."

Thanks so much for your detailed suggestion, it is really helpful. I will go back to the Audi and update.

1. Give your audiologist all the help you can. write down all the issues you are having and take them with to the appointment. The more information you can give the audi the better she can help you. Proper adjustment is critical.

2. If you continue to have issues consider returning the Phonaks for a different brand. You have to be happy with your hearing aids. A few years ago I returned Phonak Paradise 90s in favor of Oticon More, but for different reasons than you are having. (my hearing loss is not the same as yours)

Good luck and let us know how you come out.

@ imallears. & @arrowshooter I just got Phonak Lumity L90s. Previously had Phonak Paradise. I upgraded as reviews stated improved speech clarity, which is what gear aid wearers are most looking for.
One things not mentioned in the OP or either one of you was Real Ear Measurement (REM). I think it is very important and unfortunately my Audi did not perform it. Said he would do it the next appointment. Well I cannot hear what is being said (actually understand what is being said) standing across the counter from the gal.
I am not wearing them- have gone back to my Paradise until my next appointment. I will insist on REM or I’ll return them. REM is important. Your hearing aids are only as good as your audiologist’s programming. Good luck!

This information is very helpful. Fitting a hearing aid properly is exact science! It doesn't just happen. Skill is necessary by the fitter. Too often people think they should just walk out of the audiologist's office and hear like they did years ago. It doesn't work that way.

When it gets to difficult, and try after try doesn't work, it may be time to consider a cochlear implant. Ask your audiologist about that. If s/he doesn't think that makes sense for you, ask why.

CIs are amazing. The surgery is relatively minor, and the results are incredible for most people. Ask questions. If you have severe hearing loss the CI route may be your best option.

Has your audi discussed CIs with you?