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hearing aids and CIs

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Several of my adult friends who grew up with h/a's and now have received

cochlear implants, all wear their h/a's. They say that not only does it

help them localize where sound is coming from, but it helps them

transition better from their old way of hearing to the new way sounds

are presented using the CI. Some have been encouraged to remove their

h/a's, others encouraged to keep them on if they feel better with them.

It's all a matter of hearing preference. doesn't have a CI, but

he's a case in point about hearing preference. sets his hearing

aid volume less than that at which he should wear it. He says that it

hurts him because it's too loud when he wears it where he derives the

best speech discrim. His comfortable listening level is less than his

needed amplification level in order to get optimal speech

discrimination. So, we let him wear it lower. He has to feel

comfortable or he won't wear it. also doesn't like the high

frequencies amplified too much because he says it sounds tinny. He has

grown up with little high frequency hearing so now that he finally has

aids that amplify it better, he's not comfortable hearing that way. So,

his new audiologist works with him to determine his most comfortable,

preferential hearing level and settings and fits him accordingly. In

the past, the audiologists always set the hearing aids where they SHOULD

be, not where he felt he could hear the best. He's been alot happier

the new way. Regrettably, any kind of amplification is not an exact

science. It relies alot on hearing preferences.

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