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J'AIME January 2018

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H E A LT H<br />

Help for hearing<br />

INDEPENDENT AUDIOLOGIST STEVEN HALE, OF STEVEN HALE HEARING IN SUTTON COLDFIELD,<br />

TAKES A LOOK AT HOW TECHNOLOGY IS TRANSFORMING THE TREATMENT OF HEARING LOSS<br />

What’s new in the world of hearing aids?<br />

“The advent of digital hearing aids many years ago<br />

changed the hearing aid industry. Hearing aids are<br />

no longer ‘simple amplifiers’, they have become tiny<br />

computers which control what you do or don’t hear.”<br />

Has new technology changed the way you test<br />

your patients’ hearing?<br />

“Because not everyone’s ears are the same, we can<br />

no longer rely on just doing a simple hearing test.<br />

New technology is available which allows us to<br />

complete a full range of hearing assessments so we<br />

can recommend the most effective hearing aid. These<br />

tests include:<br />

Pure Tone Audiometry hearing test – which is a<br />

behavioral test to measure hearing sensitivity. Pure<br />

tone threshold (PTTs) indicate the softest sound<br />

audible to an individual at least 50% of the time.<br />

These are plotted on an audiogram, which is a graph<br />

displaying intensity as a function of frequency.<br />

Audiology Speech Testing - which determines the<br />

degree and type of hearing loss and discomfort or<br />

tolerance to speech stimuli and information on word<br />

recognition abilities.<br />

LiSN-S PGA speech-in-noise testing &<br />

tympanometry – the new benchmark in speech-innoise<br />

test, this unique<br />

diagnostic tool allows<br />

us to measure how<br />

well you understand<br />

speech when in a<br />

noisy environment.<br />

It is an excellent tool<br />

for assisting us in the<br />

recommendation of<br />

suitable hearing aids.”<br />

Is new technology<br />

affecting hearing aid<br />

fitting too?<br />

“Yes - as recommended<br />

by the British Academy<br />

of Audiology (BAA)<br />

and the British Society of Audiology (BSA) we<br />

perform ‘Real-ear measurements’ (REMs) when fitting<br />

our hearing aids using the latest hearing aid fitting<br />

equipment.<br />

“Our ears are almost as individual as our fingerprints,<br />

the shape and size of your ear and ear canal will be<br />

different to anyone else’s. Hearing aids’ performance<br />

varies in different ears. So the only way you know that<br />

your hearing aids are set to your Bespoke Prescription<br />

is when your hearing aid prescription has been<br />

verified and the only way of doing this is with REMs.<br />

“REMs are used to measure the sound level of a<br />

hearing aid inside your individual ear. By doing so,<br />

the sound level of a hearing aid can be compared and<br />

then carefully fine-tuned to your prescribed sound<br />

level.”<br />

Do all hearing aid audiologists perform REMs?<br />

“Unfortunately not, although it’s a recommendation<br />

by the British Academy of Audiology (BAA) and the<br />

British Society of Audiology it isn’t a requirement.<br />

Not all audiology practices have access to the state-ofthe-art<br />

equipment needed to perform this test, whilst<br />

others are under time restrictions.<br />

At Steven Hale Hearing we don’t just fit the finest<br />

hearing aids from the best hearing aid manufacturers,<br />

we strive to ensure you are getting a bespoke hearing<br />

assessment, bespoke hearing aids, bespoke hearing<br />

aid verification, at fitting and review as needed, and a<br />

bespoke follow-up service.”<br />

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