Leading Stars

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2 Bright <strong>Stars</strong> Louisville, KY Janet Barnhouse Vance Riley W. Springfield, MA Doris Bartolucci Robert Ruel William Schoonman Oak Lawn, IL Jeff Gilane Tyler, TX Dwayne Leach Jim Shupe Butler, PA Shon Slagle William Yost Rising <strong>Stars</strong> Louisville, KY Mike Mullen W. Springfield, MA Andrew Russell Johnny Bartolucci Walter Nowak Tyler, TX Angela Craver Lisa Czop Rocky Mount, NC Jackie Vaughn Kenneth Mitchell Mary Morrison Rocky Mount, NC Allison Vaughn Billie Swift Jeff Sumerlin Reginald Harrison Minnetonka, MN Dan Zander Larry Wynia Centralia, WA Edward Steed Julie Krupp Leona Byrd Rick Baker Rose Johnston Springfield, OH Bill Bruns David Bruns LHAC, Louisville, KY Aviv Naamani Damon Welch Minnetonka, MN Brad Murray Brad Ziola Dan Carriger Erik Raml Mark Anderson Patti McCully Beaver Dam, WI Andy Karau Keith Swanson Terrance Ford Todd Schimmers Travis Thomley Butler, Pa Mark Dickson 20 or More Ears Helped in August Beaver Dam, WI Amanda Richardson Dan Conard Dan Morrissey Donald Szmanda Jim Gigot Lisa Hart Lisa Schneider Meagan Brown Paul Ebben Steve Hearden Raleigh, NC Becky Israel Donna Kernodle Glenn Best Portland, OR Murray Skillestad R. David King Victor Bothe 15 or More Ears Helped in August Raleigh, NC Faith Cook JB Warren Jeff Hartney Tammie Crawford Portland, OR Darryl Brooks Tiffany Parret Centralia, WA Dane Gregersen Springfield, OH Thomas Riddell
Avada’s Good to Great Q & A Kurt Trede National Sales Trainer Oticon A. From the September Avada Webinar, several points were most salient, including that we, as practitioners must relate the noise situation each individual patient experiences back to the ADE (Activity-Difficulty-Emotion). Practically speaking, this is why it is so important to have this information in writing at the point of the ATP and in Goldmine so that these issues can be revisited at each ten step service. The speech science lesson is that noise is broadband with spikes that can be transient (sudden and sharp) with amplitude fluctuations (intensity or its counterpart loudness). Noise management helps to address the “clangs” in the noise fluctuations so that the patient can focus on the conversation and not be distracted from the noise influences. Noise management does not affect the signal to noise ratio, but rather looks at each channel to preserve as much of the speech signal as possible. To work with signal to noise ratios, one must look at directionality. There are two very specific approaches to noise management, Modulation Detection and Synchrony Detection, Synchrony Detection found in instruments with TriState Noise Management can improve acceptability of the environments the patient’s experiences by maintaining more of the speech signal than Speech-weighted Modulation based Q. How do I as a practitioner, identify which type of noise management system would work best for my patient? noise management. TriState is incorporated in the K220, K210, Chili SP9, Chili SP7 and K140. Modulation Detection (M60, Chili SP5, K130, K90 and K70) has more difficulty finding the speech signal since both noise and speech modulation though speech has a higher modulation rate. You should view the Product Overview in Prescriptives to determine the features of each product. Additionally, it was recommended that each Avada Clinician take about 30 minutes to watch two Oticon Educational Podcasts: Edition 13 (Directionality) and Edition 14 (Noise Reduction). www.Oticonusa.com Scroll down to Professional Resources, click on Educational Podcasts. Our goal for our patients is to set appropriate expectations based on their hearing loss as well as to make speech audible and noise comfortable. Or to put it another way, to improve acceptability and reduce annoyance when noise is present without jeopardizing the speech signal. Eighty percent or more of the patient’s expectations come from counseling on appropriate expectations. This goes hand in hand with patient counseling as well as the input from the LACE programs our patient’s experience. 3
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