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High power aids

Jeff Sirianni sirianni at UTS.CC.UTEXAS.EDU
Sun May 14 11:25:47 EST 1995

On Sat, 13 May 1995, Mark Verber wrote:

> In article <3otknn$715 at geraldo.cc.utexas.edu>, sirianni at uts.cc.utexas.edu
> (Jeffrey Sirianni) wrote:
> >>My wife Libby, a dispensing audiologist, tells me that most of her patients
> >>who have been fitted with the MultiPro use three or four distinct
> >>programs.  In a few cases, Libby has duplicated a a couple of the programs
> >>at a different amplication level because the MultiPro doesn't have an external
> >>volume adjustment, thus using most of the program slots which are
> >>availible.  The bottom line is that Jeff is right, most of the time
> >>a 4 memory instrument would be sufficent.
> > 
> > Does your wife put age as a consideration in dispensing the MultiPro?
> I am sure Libby's responce (she isn't home right now) would be:
>   How would anyone even slightly competent not take the individual's
>   entire life situtation into account, which of course includes age.

I guess I am looking at the Multipro from a general broader viewpoint 
than you are.  You are ABSOLUTELY correct that an individual's age is an 
important factor, but I am looking at this from a general point of view 
that person's seeking amplification are often over the age of 65 and that 
a person's memory and ability may stand in the way of using 8 memories in 
a successful manner.

> > My
> > experience with Resound, with other persons, suggests that sometimes
> > 2 memories are difficult.  I usually start with the identical program
> > in both memories as a start.  Later I'll modify the second memory for 
> > less low freq. amplification for noisy situations, like crowds.
> I know that Libby's responce to this would be that this question is
> getting at the art of a good fitting.  Given the complexities
> of a person's life situation, hearing lose, capibilities,
> appropriate technologies, diffuculty of the listening situtations, etc,
> there are a variety of options which could add up to a successful fitting.
> If two programs and a remote are too difficult for a patient to master,
> one alternative (but not the only one is) using one of the single
> program, programmable instruments (ReSource and 3M have them now).

I know that users like the idea of a remote to control volume.  I 
understand the theory that in full dynamic range compression, one should 
not have to adjust the volume.  But it is something that patients like to 
have control over.  I have heard that the SinglePro and Resound Encore 
(is that the name?) do not have volume controls or remotes?  Is this true?

> > My thoughts are that older persons may have trouble remembering what
> > setting is for what...
> My understanding is that understanding the patient *before* you select
> any instrument is very important.  I would be reluctant to generalize
> too much who might have what problems.  This should be determined on
> a person by person basis.  I have a few friends who have been fitted
> with 4-5 programs in the 3M MultiPro.  I know they don't worry about
> which program they are in, the just cycle through like a TV remote
> until the find a program that they like (that is the best sound).
> Since the instrument has a memory that records things like the time
> spent in each program, the audiologist can make appropriate adjustments.
> --Mark
It appears that a person's lifestyle needs to be thoroughly examined 
before recommending such a device.  A agree...

Jeff Sirianni

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