Urgent suggestion need for my Phonak Lumity hearing aid fitting.

Posted by luoxihappy @luoxihappy, Dec 27, 2022

Could someone with Phonak or fitting experience help me out?

I got a new pair Phonak Lumity 90 a month ago. but after 4 times fitting, I still have problem with it.
I wear HA for around 5 years as I suffer moderate hearing loss in low frequency and severe drop in high frequency. To get better hearing I upgraded to Phonak Lumity 90.

I would like to get some suggestions here before I visit my audiologist, again.

My issues are :

hard to get information in noisy environment or in group conversation. I have to remove HA or reduce to volume in order. ( I tried noisy environment mode, but not really help). to be honest, in noisy environment, HA not help at all. it is better if I remove it.
sudden sound increase : I always come across sudden sound increase. I guess, HA is trying to adjust according to environment change, however, it caused some unpleasant sound, as well as sudden increase.
when talk to ppl with relatively lound voice, HA occasionally get unpleasant sharp sound. reduce volume can help to reduce sharp sound, however, I may have difficulty to understand content then. It is just too hard to get a balance.
Sound Played from computer or Mobile is not comfortable. sound from paper or some plastic bag is also too sharp. I can reduce volume to get more comfortable, but similarly, it will reduce the conversation clarification.
I have visited my Audiologist 4 times, but I have got a really good result so far. test in the clinic, quiet room seems ok, but when I go to real environment, I found so many issue.
so I would like to get some suggestion here before I visit her next time.

Thanks heaps in advance.

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@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.

REPLY
@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.

Jump to this post

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

REPLY
@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.

Jump to this post

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.

REPLY
@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.

Jump to this post

@ 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!

REPLY

Ask your audiologist to extend the trial period (most MFRs allow up to three (!) months but best to ask and get an approval. Ask your audiologist to verify the performance of the instruments with a real-ear test. For information read this handout https://www.dhs.wisconsin.gov/dhhcouncil/buy-hearing-aids-wisconsin-final.pdf and consider watching the Dr. Cliff Video on Real-Ear: https://www.youtube.com/watch?v=cHR0Oa6I-wY there is also more hearing aid advice in this article (ignore the "older" reference – it is good info for everyone) http://www.ncoa.org/article/what-older-adults-need-to-know-about-hearing-loss

REPLY
@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.

Jump to this post

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?

REPLY
@julieo4

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?

Jump to this post

I had my CI this past March of 2022. I have no regrets. Sure it has been a learning curve with speech therapy involved. My hearing in both ears was less that 30%. I had my right ear done and just got my new hearing aid for the left ear. I think for less than a year that I am doing great. As others have said I still have problems in a large room with many people talking. I don't see anything that is going to solve that. I use my Otter app on my cell phone sometimes so I can read across the screen what others are saying. It's really helpful. You have good advice, Julie.

REPLY

@arieswoman Thank you for the compliment. Those large room situations with many people talking will probably always be a challenge for us. Background noise is a 'monster' of sorts! I find the accessories that are available with my cochlear processor are very helpful although they are not perfect.

Otter and a few other apps on cell phones can help. My problem with those is that it's hard to look at the person I want to hear while looking down at my cell phone. I do far better with the mini mic that connects to my personal technology.

Do you have those add on accessories with your CI and HA?

REPLY
@julieo4

@arieswoman Thank you for the compliment. Those large room situations with many people talking will probably always be a challenge for us. Background noise is a 'monster' of sorts! I find the accessories that are available with my cochlear processor are very helpful although they are not perfect.

Otter and a few other apps on cell phones can help. My problem with those is that it's hard to look at the person I want to hear while looking down at my cell phone. I do far better with the mini mic that connects to my personal technology.

Do you have those add on accessories with your CI and HA?

Jump to this post

I do have the Rogers mic but find it just doesn’t work for me. I have tried different settings, etc. I love the new tv mic they sent to me. It really helps.

REPLY
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