Audiologist of the Year 2010 - Vote now!!

VOTE FOR ME ‘JOHN LLOYD’ and you could win £200!

Europe’s top award for hearing professionals is back! Audiologist of the year 2010 is a chance for patients to celebrate the skills of hearing professionals across Europe.

Now in its third year, the respected award encourages nominations for professionals who excel in their duties and it is a chance for patients to shout about their own audiologist.

Please feel free to write in about your own experiences and nominate me if you feel I have given you an exceptional service to you.

Nominate me here!!

Why do I think my service stands out from the rest?

I treat every customer as if they were my friend or family -  I honestly believe I do what is best for every client in every way I can.

I run and maintain the only up-to-date hearing aid blog - no other company has yet to take on this method of keeping their clients informed of new technology.

I am committed to supplying affordable hearing aid solutions and in my drive to do this I now have the most prevalent hearing aid website on the Internet allowing customers to make up their own minds and get the best price for the best hearing aids on the market.

Please click here to vote or nominate - Hearing Aid Audiologist 2010

Mercury Free Hearing Aid Batteries

There are two issues here. 1. Raising awareness to the new mercury free batteries now being supplied by Rayovac, and 2. Ethical disposal of your hearing aid batteries.

Most batteries have until now contained some level of mercury within them, which means that careless disposal of these batteries will eventually lead to the mercury being leaked into the soil. This mercury then gets into our water and food chain and is ingested by us all! Mercury is a highly toxic substance which damages the brain, kidneys and lungs. Symptoms ironically can include hearing impairment; so a viscous cycle for those who have a hearing loss and who don’t consider the implications of where they discard their batteries!

Rayovac now supply mercury free hearing aid batteries which after considerable development are now providing equivalent lifespan of the mercury batteries. It is in the interest of us ALL to use products that DON’T contain mercury, but as with everything these new batteries are slightly more expensive due to the development costs involved.

At Crystal Hearing we already offer a price on our batteries that is barely profitable so we cannot bear this additional cost.

We can supply ‘Rayovac Mercury Free Extra Advanced’ batteries in all sizes for a discount price of £18 per 60 cells

(Click here for the Rayovac website)

There is a new European Batteries Directive being implemented from the 1st February that requires the UK to recycle 25% of portable batteries by 2012. So please help us to do our bit and either dispose of your batteries at your local tip (or any other appropriate recycling point) or if you cannot do this then please save them in a pot/bag and give them to your dispenser so he/she can dispose of them accordingly.

Click here for the our other Hearing Aid Batteries web page.

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Crystal Hearing

Discount Hearing

Unitron Fuse

Unitron have recently launched a new concept one size fits all completely-in-the-canal hearing aid which can be fit instantly, i.e. this aid is not custom made from an ear impression.

The FUSE is very small in design offering a truly almost invisible hearing aid which incorporates an articulated joint mid-way for maximum comfort, and prevents the aid slipping out from excessive jaw movement, which can happen with custom made CIC’s.

 The aid is designed to offer an open-fit solution preventing own voice problems which can be problematic for some clients who suffer with a high frequency loss.

The other advantage is that these CIC’s use the replaceable tips that new receiver-in-the canal (RIC) tips use meaning they can be easily reconfigure to get the best response for each client.

 Who would use these aids - those people who are after an easy to use and premium level digital hearing aid suffering with mild to moderate loss. Those who want less fiddle than what is offered by the RIC’s, and maximum discretion.

Click the image for more details on the Unitron FUSE and other Unitron products

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HOW TO LOGIN or REGISTER

Please scroll down on the right hand side until you see the ‘Login’ or ‘Register’ tab and click either one.

As shown here:

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If you can’t remember your details please send an email to

info@crystalhearinguk.co.uk

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LESSON 2 - Understanding the Hearing Test

First, a quick understanding of what ’sound’ is.

Sound is a pressure wave and is the result of molecules impacting upon each other, caused for example by objects hitting each other (such as a hammer onto an anvil) or from objects vibrating (such as our vocal chords). Sound therefore requires a molecular medium to pass through, and the sound is heard until the energy fades out (this fade through air is halved every doubling of distance and is know as the inverse square law). Sound can vary in loudness and pitch.

(Note: The reason there is no sound in outer-space is because outer-space is a vacuum, and has no molecules. Sound can transfer within objects in space but this stops at the edge of the object because there is then no air to then carry the sound further).

Sound loudness is measured by the decibel scale, defined as the decibel sound pressure level (dBSPL)

When we test hearing we use ‘puretone’ sounds which are frequency specific and contain no harmonics. They are by definition ‘pure’.

Many decades ago hearing tests were carried out on several hundred young adults with anatomically healthy ears by measuring the faintest level of puretone signal each could hear, measured in dBSPL. This then gave an average minimum threshold of hearing for people with good hearing in which to measure other people against. However, the natural ear actually hears different frequencies at vastly different pressure levels - this can be shown by ’Equal Loudness Curves’ (aka Phon curves) shown here:

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Note 1: This graph is based on subjective comparison of frequencies based around 1kHz. So whilst 3kHz is less than zero, it just means we can hear 3kHz better than 1kHz (due to the natural amplification characteristic of the shape of the ear) - we cannot possibly hear better than Zero dBSPL (zero sound!). The graph shows that we can hear 3kHz at a much lower sound pressure level than say 20Hz.

Note 2: As shown in the graph above, young adults with healthy ears can typically hear between 20Hz (very low pitch) to 20,000Hz (very high pitch), but as we grow older this range narrows, especially from the high frequency end. Hearing tests are typically limited between 250Hz-8000Hz being that this is the range of speech.

It would be quite confusing to use a graph like this to base every other test upon, so a flat graph called an Audiogram was produced (shown below). This shows the threshold of sound to be ‘zero decibel hearing level’ (dBHL) - defined as the average minimum level of sound which an 18 year old with anatomically healthy ears can here - and this average perfect is what we compare ALL hearing tests to (note it is possible to hear better than 0dBHL, as it is an average figure). The graph also shows the average upper threshold of hearing where sounds are considered uncomfortable (but not painful) - which is on average 120dBHL. (Note: the graph is always upside down to represent a loss).

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Hearing test results can vary wildly, but most people suffer from high frequency loss caused by hair cell damage in the cochlear (the inner ear / nerve centre).

A typical test result is shown below, on an Audiogram which also shows where typical speech sounds occur.

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This audiogram shows a client with good low frequency hearing and mild to moderate high frequency hearing loss.

The circle on the left shows that the client is hearing louder vowels sounds normally, but the circle on the left shows they are missing the quieter consonant sounds, which are needed for clarity of speech. This client will therefore perceive that people are not speaking clearly - a clear sign of early stage hearing loss.

I hope this helps! - Please do add comments or ask questions.

For an explanation of the hearing test procedure click here.

All the best

John

Phonak Milo

And finally, Phonak have completed their portfolio upgrade with the new Phonak Milo.

An entry level hearing aid incorporating advanced features such as adaptive dual microphones and noise reduction based around the CORE processing platform that the more advanced range is built on.

So even at a budget level we can now provide fantastic hearing solutions as custom in-the-ear models or mini-behind-the-ear models.

More information here

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Phonak Audeo Smart

To compliment the Audeo Mini we are also please to announce the arrival of the new Phonak Audeo Smart.

The Phonak Smart effectively replaces the Audeo YES incorporating the same housing improvements whilst also being wireless functional and therefore compatible with the iCom and the MyPilot, and also now includes the brilliant DuoPhone (an article on DuoPhone is listed under ‘accessories’).

The other main addition is the push button located between the dual microphones which can now be used for mulitple programmes OR for a volume control (more information available on request).

Having smoothed out the minor housing issues that some people experienced this aid is now arguably the best RIC currently available and with Bluetooth functionality it is probably the most versatile.

Full features and colours here

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Phonak Audeo Mini

Phonak have just added to their portfolio with the new ‘Audeo Mini’.

A miniature version of the already massively successful Audeo YES which includes all the technology of the three previous technology levels (the 3, 5 and 9) but with a few improvedents including:

1. Hydrophobic microphone protection preventing dust and moisture ingress, which will reduce repair needs.

2. An improved sliding pin mechanism for removing and replacing the speaker wire which the client can now easily do. This is great for field dispensers and clients alike, as it means the client does not have to wait to see someone if their is a fault, as long as they have a spare speaker wire for each ear.

3. Radical new lightweight design - The Audeo Mini is the smallest receiver-in-the canal hearing aid currently available, being 10% less overall volume than the Widex Passion (although the Passion is remote control compatible).

4. Improved battery door, to prevent batteries falling out.

5. Nano-coated housing to prevent moisture ingress.

Note: The Audeo Mini has no wireless function and therefore is not iCom or MyPilot compatible.

Features and colours shown here

Who is this aid for? People who want the highest performing and most discreet RIC hearing aid with no add-ons. Easy to use, fully automatic and does exactly what it says on the tin.

Click here to see the Phonak video of the new Audeo Mini

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Resound Live

Product launch by GN Resound

GN Resound launched their new portfolio of hearing aids this week - the Resound Live and the Resound Dot2. Developing on the multi-featured Resound Azure their latest portfolio now includes more advanced technology including surround sound processing with adaptive auto-scope directionaility, sound impulse smoothing, extended bandwidth and WhistleControl, alongside a new slim-line RIC hearing aid with integrated volume control and telecoil loop, and the addition of a programme button to the miniature award winning Resound DOT (now the DOT2).

WhistleControl: a powerful whistle stop technology working alongside the the existing DFS2 (dual feedback stabiliser) which eliminates those irritating squeaks common in open fittings when, say, people hug you closely (it’s not just a claim, it actually works!).

Surround Sound Processing: gives full directional benefits without losing the ‘depth’ of sound which some directional settings may impose (such as bass-cut to assist noise reduction).

Sound Impulse Smoothing: A super quick acting compression technology which dampens down impulse sounds such as doors slamming and cutlery without affecting clarity of speech definition.

Extended bandwidth: Hearing aid amplification typically falls off at 5-6 kHz (5000-6000Hz) but extended bandwidth pushes this past 7kHz now giving a more natural sounding response. This is however open to argument as the frequency range is limited by the speaker unit and some manufacturers are now using frequency compression with great results (this brings the very high frequencies into lower frequency bands, and overcomes dead regions or profound high frequency losses). Ultimately it comes down to what is right for each person.

What does this all mean to the wearer? Not much to existing clients or for people looking for hearing aids incorporating Bluetooth technology. Also GNR are lacking some other key features such as frequency shift, remote controls (great for CIC versatility) and binaural synchronisation (push one programme button and the other side changes automatically. But they are great aids and the new whistlestop is great for anyone who still has feedback problems, especially when on the phone (no more taking the aids out, honestly!), and the CIC’s are very small and neat.

Ultimately GNR have produced a strong portfolio, and offer a good option for people looking for a hearing aid that does exactly what it says on the tin.

Phonak and Unitron will be launching new products in November - watch this space…!

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and Discount Hearing Aids

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This text has been removed due to formatting problems - please see the article labelled Resound Live.

Click here for more reading