hearing evaluations

I believe a thorough testing protocol is the only way to get the complete picture of your hearing difficulties.  The protocol includes:

Air Conduction Testing (A/C)

With headphones or insert phones, tones are presented to each ear individually and patient is instructed to let specialist know every time a tone is heard.  I am looking for the softest place the tone can be heard 50% of the time.

Bone Conduction Testing (B/C)

With an oscillator placed on the mastoid bone directly behind the ear, tones are presented again. This test bypasses the outer and middle ear and tests the inner ear (cochlea-nerve of hearing) directly.  If there is a discrepancy or “gap” between the Air Conduction threshold and the Bone Conduction threshold, it may be necessary to refer you to a physician or an Ear Nose and Throat Specialist (ENT)

Word Recognition Score (WRS)

Unaided: A list of words is read to each ear and/or both ears together to get an idea of what percentage of speech you are currently understanding. Can be done to open ears alone or with old hearing aids in.

Aided:  A comparable list of words is read just as above with new aids or demo aids to get an approximate value or estimate of improvement of speech with hearing aids.

Speech Reception Threshold (SRT)

This will find the softest volume you can correctly repeat words 50% of the time.  Helps verify the results you got in the A/C test.

Most Comfortable Level (MCL)

This will help give us an idea of what volume you feel is most comfortable to understand speech to the best of your ability. Very important in relating to hearing aids.  There can be several people with a very similar hearing loss and the MCL results will vary greatly. Important test to individualize your settings

Uncomfortable Level (UCL)

Can be done with tones and/or speech.  Want to find out where sounds get uncomfortable for YOU.  Very important individualized test to ensure hearing aids are programmed correctly for each patient

Sound Field Testing

Tones and or speech presented through speaker(s) in the booth to verify previous results and test in a more realistic manner.

It takes all of these tests together to give me the best information so that I can give you the most realistic expectations with your hearing system.

service and programming

I will clean just about any make of hearing aid at no charge.

I have access to almost any manufacturer, so I should be able to hook your hearing aids up to the computer to help fine tune them or even help them match a newer, updated hearing test.

video otoscope

I have an otoscope that is attached to a big computer monitor, so YOU can see how your ear canal and eardrum look. If there is wax, I can show you where and how much.  If there is a possible infection, I can show you what I am talking about so you can talk to your physician about it.

rem lvsm

REM uses a probe tube inserted in your ear to measure how the hearing aid is working in regards to your specific graph of hearing, taking into account the size and shape of each individual ear canal.

LSM uses a probe tube as well, but allows me to test how you hear a certain loved one with the hearing aids in.

For example, if your spouse has a very quiet voice, we can have her talk to you with the hearing aids in and actually fine-tune a special program to possibly hear their voice better.

It is also a very good counselling tool to demonstrate how certain voices are heard (or not heard) with your particular graph of hearing.

Questions or Concerns?