Archive for the ‘Digital Hearing Devices’ category

Hearing Aid History: From Ear Trumpets to Digital Technology…

May 9th, 2012

Today’s Hearing Devices are Not Your Grandmother’s Hearing Aid!

By: Bettie Borton, Au.D., FAAA
Doctor of Audiology
Doctors Hearing Clinic
7025 Halcyon Park, Suite A
Montgomery, AL 36117
(334) 396-1635
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www.doctorshearingclinic.com

Hearing loss has been a problem for as long as humans have been around and because hearing loss affects people’s ability to connect and form relationships with others, hearing devices were quickly developed to help those who could not hear.   Here’s a short history of hearing aids – a brief guide to how we got to where we are today.

Bettie Borton, Au.D. Doctor of Audiology AudiologistPre-electric (Acoustic) Hearing Aids
These ear trumpets captured sound waves, sending them down a tube to the listener’s ear. They were big, bulky, unattractive and, frankly, they didn’t work very well. Of course, these were state-of-the art “hearing aids” for centuries until electricity became available.

Carbon Hearing Aids (1900-1939)
These were the first electric hearing aids. Carbon was used to amplify electric current to boost the volume of sound. However, they were bulky, buzzy and downright ugly, though for those with hearing loss, they were the only choice.

Vacuum Tube Hearing Aids (1921-1952)
Vacuum tubes were used to control the flow of electricity and, as such, they did make hearing aids a little better. However, these boxy devices were usually table-top models about the size of a clock radio, so the user had to carry around a heavy box and plug in to hear what was going on.  There weren’t many controls or features, so these devices amplified all sound. That must have caused more than a few headaches back then. But hearing instruments continued to improve.

Transistors to the Rescue (1952-1970s)
Transistors enabled hearing aids to fit into a smaller shell. The first transistor hearing aids appeared in 1952 – actually, two years prior to the first transistor radios which came along in 1954. Transistor hearing aids were still big and bulky with the electronics in a box carried on the body, with ear phones connected to a tangle of wires. Not very convenient, to say the least.

Researchers shrunk transistor hearing aids over the years, making them small enough to fit behind the ear and even in the ear. However, they were anything but low-profile. They also didn’t come packed with features the way today’s hearing aids do.

Digital Hearing Devices
Today, quality hearing aids use digital technology – circuitry that’s used in computers and cell phones -  and what a difference a few decades and countless hours of research and development have made!
Today’s digital hearing devices are sleek, discreet, fashionable, high-tech and low-maintenance. They can be programmed by an audiologist, to suit your specific hearing needs. Most adjust automatically for changes in volume levels and adapt to background noise. And now, with FM, Infrared, or Bluetooth technology, they can connect to multiple devices such televisions and telephones. Did you know that the new Bluetooth capability will allow you to answer you cell hands free, and route the call through both of your hearing devices?

Your hearing is very important and contributes greatly to a better quality of life, and you should do everything you can to make sure you find the right hearing center for your needs.

Finding the right audiologist can be as easy to answering a few simple questions. First, is there a licensed, board certified and experienced audiologist on staff? Then consider…

1. Is this professional willing to make a referral for a medical evaluation to rule out the need for medical or surgical treatment, if necessary?

2. Will the audiologist communicate effectively with you about hearing aid choices and fitting options, if hearing aids are appropriate for your hearing loss?

3. In determining whether a hearing device is appropriate, will the audiologist speak  to you clearly about your hearing loss, lifestyle, manual dexterity, and budget?

4. Does the hearing center offer a wide range of hearing aid makes and models from various manufacturers?

5. Will you receive assistance and training regarding how to wear and care for your hearing devices , as well as how to adjust to wearing them?

6. Does the hearing center offer lengthy trial periods, warranties, and loss and damage protection?

7. Will they provide follow-up care following your hearing aid fitting, at least every six months?

8. Is the hearing center open at least five days a week, with an audiologist on staff to provide emergency care, or loaner hearing aids if needed?

9. Will you always see the same audiologist when you visit?

If you have answered “Yes” to all of these questions, you can rest assured that you have taken the right steps in finding a reputable dispensing practice. Of course, answering some of these questions may require more research than just exploring online. Call the hearing centers in your area to see how they answer your questions.  Once you find one you are comfortable with, schedule an appointment for an initial consultation and hearing test.

So remember, if you’re looking for the latest and the greatest in hearing loss solutions, visit Doctors Hearing Clinic for more information and counseling. Forget everything Grandpa told you about his hearing aids. Those days and those hearing aids are long gone, thankfully. Today, you can enjoy the sounds of life without a lot of hassles.  Modern digital hearing aids deliver sound quality and ease-of-use in small, attractive devices. Seek a Board certified audiologist to explore the world of high tech hearing devices that are now available – and see for yourself that this is NOT your grandmother’s hearing aid!

Consumer Protection Laws & Regulations for Hearing Aid Purchases

October 12th, 2011

By Crystal L. Chalmers, Au.D.
Doctor of Audiology

North State Audiological Services
15 Jan Court
Chico, CA 95928

(888) 844-7024
Follow North State Audiological Services | Facebook | Twitter | Youtube
www.nsaudiology.com

Here in California – as in many states – purchasers of hearing aids are afforded protections under state laws and regulations administered by the Department of Consumer Affairs (DCA) through the Speech-Language and Audiology and Hearing Aid Dispenser Board (SLPAHADB).

The SLPAHADB was formed on January 1, 2010 by combining the Speech Language Pathology and Audiology Board with the Hearing Aid Dispensers Board.  Previous laws and regulations remain virtually unchanged except that audiologists are no longer required to hold dual licensure for practicing audiology and dispensing hearing aids.

Audiologist & Ear Doctor, Dr. Crystal Chalmers, Chico, CaliforniaThis board’s mission is ensuring the competency and fair practices of hearing aid dispensers.  It does so by providing licensure through testing, ethical guidelines, boundaries for advertising practices, and acts as a vehicle for consumer complaints, ultimately providing enforcement and disciplinary functions.

While political discussion in the media about government intrusion in our lives is a hotbed topic, consumer protection laws are generally an accepted interaction between the citizenry and government.  Who wants to buy poisonous food, cars that don’t run, or housing that collapses in the slightest breeze, to name just a few examples?

Why should it be any different with hearing aids?   Purchasers have a right to expect fair and honest treatment as well as professional expertise from those they seek help.  It could be argued that hearing aid purchasers – many of whom are our senior citizens – should receive an added degree of protection as many of our laws are designed to protect us as we age beyond our more active years, and thereby tend to rely on the care and guidance of those who are younger.

While all the laws and regulations are too lengthy to list here, these are several of the most important.  For the full listings, visit the SLPAHADB website at www.speechandhearing.ca.gov

  • 30 Day Warranty  – The “Song-Beverly Consumer Warranty Act” provides a 30 day warranty on all new and used hearing aids.  If the hearing aid is not specifically fit for the buyer’s particular needs, the device may be returned to the dispenser within 30 days of the of the date of the actual receipt by the buyer or completion of fitting by the seller, whichever occurs later.  If the buyer returns the device the seller must either adjust or replace the device or promptly refund the total amount paid.

It should be noted that while many dispensers advertise things like “30 day risk-free guarantee” they are merely staying within the state mandated minimum trial period of 30 days.  My professional opinion is that for many purchasers, 30 days is too short as it does not allow enough time for the brain to get used to hearing again.  In my practice, I offer a 75 day trial period in order to make certain my patients have all the time they need to be successful.

  • Mail Order & Internet Sales  – California law provides that mail order/Internet hearing aids may only be purchased through a dispenser licensed in California.  The law also states that that when hearing aids are purchased by mail order/Internet, there must be no fitting, selection, or adaptation of the instrument and that the seller must not give any advice with respect to the taking of an ear impression(s). Anyone contemplating this avenue should be aware of potential risks as to work effectively, hearing aids must fit correctly.  If a sale doesn’t involve personal contact between the dispenser and buyer, it is difficult to assume that proper fitting and follow-up care could occur.
  • In-Home Contracts & Cancellation Rights – If you sign a hearing aid purchase contract in your home, federal and state laws allow you to cancel it for any reason by midnight of the third business day after you signed the contract.
  • Advertising Guidelines –  Did you know that in California, hearing aid dispensers are not licensed to perform diagnostic hearing evaluations (only audiologists are licensed to do so) and are therefore not allowed to charge a fee for “testing”?  That is why they advertise “free” tests, BUT they must state that the “test” is “to determine if you could be helped by a hearing aid.”

No one selling hearing aids in California can refer to themselves as a “specialist” without including the title “hearing aid dispenser”, nor can anyone refer to certification by putting a bunch of letters after their name.  For example, this listing: “John Doe, NB-HIS” is unlawful.  The correct listing should be:  “John Doe, Hearing Aid Dispenser, Lic. No. XXXX, NB-HIS, Certified by the National Board of Certification in Hearing Instrument Sciences”

Have you ever received one of those “rebate coupons” that resemble checks as part of a direct mail solicitation?  It is a violation to send those to anyone living in California.

And finally, no California licensed hearing aid dispenser can use the terms “doctor” or “physician” or “clinic” or “audiologist” or any derivation thereof, except as authorized by law.

These are just a few of the consumer protections for purchasing hearing aids.   I urge you to be good consumers by getting the facts and educating yourself about where you stand and whom it is that you are considering doing business with.  You’ve worked hard all your life and deserve to be treated fairly, professionally, and with what is in your best interest  …. Because hearing is a wonderful gift!

About the writer:  Crystal Chalmers, Au.D., is an AudigyCertified™ Doctor of Audiology, the owner of North State Audiological Services in Chico, and a member of AudigyGroup, the nation’s largest member-owned association of independent hearing care professionals.

Since 2006, AudigyGroup has interviewed over 5,000 of the 18,000 audiologists in the United States, yet has selected only 200 to be members in this elite association. AudigyCertified™ is a trade-mark of AudigyGroup, LLC.

To learn more about Dr. Chalmers, her practice, and AudigyGroup visit online at www.nsaudiology.com

Changing the Wax Guard on Your Open Fit Hearing Aids

January 7th, 2011

Treasure Valley Hearing & Balance
By: Jacquie Elcox, BC-HIS

Boise, ID 83704

(208) 377-0019
www.treasurevalleyhearing.com

Open fit hearing aids have a protective basket called a wax guard.  Changing this wax guard occasionally will keep wax from getting into the receiver and potentially damaging the hearing aid.  In this video, Jacquie Elcox, CEO of Treasure Valley Hearing & Balance, will teach you how to change your wax guard.

WHAT DOES DIGITAL MEAN?

July 30th, 2010

By: Scott F. Young, Au.D., CCC-A
Doctor of Audiology

Hearing Solution Centers
5525 E. 51st St., Ste 500
Tulsa, OK 74135
(918) 388-6644
www.hearingsolutioncenters.com

Many times patients come to my office and ask about what do those “digital” hearing aids mean to me?  To answer this we have to look back and understand what hearing aids use to be.  Hearing aids generally have three classical definitions for the circuitry inside:  Analog, Programmable, and Digital.

Analog hearing aids are types of circuitry which are set by the manufacturer and give little adjustment to the Audiologist to control.  Analog hearing aids were used for many decades until around 2000-2008 where the manufacturers stopped requesting and making parts for these devices.  Because of the lack of parts available for these devices, it is essentially not repairable and needs to be replaced.

Programmable hearing aids were the beginning of the revolution to allow the Audiologist to change the settings of the aid to better suit his/her patient’s lifestyle more individually.  These were used in the 1990’s primarily and now are virtually unavailable for any repair issues because these parts are also not made anymore.

Digital devices began and started a few times in the 1970-1980’s but began in earnest in the late 1990’s.  Now all devices are digital.  But do not be fooled by sales people telling you that all digital hearing aids are the same because they are not.  Digital devices could have as few as 10 individually adjustments to around 100 separate adjustments that only your AudigyCertified Audiologist can effectively handle.  If, as one of my favorite patients asked me, the birds on the golf course were too loud for you, it can be adjusted effectively and easily.  Many patients have not realized that their devices could be modified to accommodate their specific needs according to their hearing loss and listening lifestyle.

“So can digital hearing aids take away all the sounds I do not want to hear?” This is a common question I hear but the answer is yes and no.  We all hear sounds we do not wish to hear, such as a yelling child in a restaurant, but we all still have to deal with this problem.  What can be fixed is the comfort of that noise to make it not exceed your ability to tolerate that sound (or hurt your ear), unless everyone around you is holding his or her ears as well.

Every year the manufacturers are creating new devices to accommodate the difficult lifestyles our patients see to handle the noise, whistling and other unwanted issues and putting them literally in the rearview mirror of hearing history.  Keep asking an AudigyCertified Audiologist what new technology might be available for you or your loved one.