You explain very well, I want to thank you from the bottom of my heart. There is a great need for such audiologists in the whole world. If I had met you, I would have explained my problem to you. Time has passed in my life, I have been successful, but now I am just living a normal life.
I went from wearing the Oticon More HA's to the Oticon Intent HA's last April. I notice a distinct advantage with the new Intents in noisy environments like a restaurant. With the new ability to adjust the EQ settings in the four different programs I can really improve my ability to understand conversation in a challenging environment. I have moderately severe hearing loss and have worn hearing aids for 23 years. I am also an active musician playing trumpet in several public venues. My audiologist has developed a special music program for me that really helps to hear without the frequency disturbance of modulating sound by turning off the Feedback Shield. I am amazed at the new technology which allows me to still participate in the things that I have always loved to do which is instrumental and vocal music.
This discussion does not describe any particular hearing aid - the emphasis is having an expert adjust the hearing aid to your individual needs. But what they could describe but did not, is what different hearing aids provide to the audiologist for tweaking. For instance, Phonak has a lot of bells and whistles that offer the audiologist options for tweaking, but the Oticon Trent has some innate capacity at high frequencies that the Phonak Sphere Infinity cannot replicate. Which is more advantageous is person dependent.
While the sound on my devices is great most of the time, i really appreciate additional microphones in noisy situations. There is so much less listening effort and anxiety involved. I have a great Hearing Up audiologist , Scot Frink, AuD, who listens to my preferences and I believe I have the best devices for me at this time.
As a blind hearing aid user this is a topic that is incredibly close to my heart, as is all the AI that hearing aids use these days and how that changes my world around me. In fact if you are willing, I'd love to do an episode with you guys at some point and really pick apart what a blind hearing aid user does and does not want their hearing aids to do, since I'm sure it is really quite different from what a sighted person might want.
I drive 45 miles for my HearingUP AUD in Florida. HearingUp providers are part of Dr. Cliffs network and all due comprehensive Best Practices. You wont regret it.
@@gbkworfI have went to my audiologist on his list for 8 years and they don't do half of what he talks about. They just pay him to be on their list. Most are like a car dealer. Once you brought the “ride” you don't get the service or time you need.
Totally agree, the Audiologist can make Or break the outcome. A few months back I went to one for my first hearing aid & test - sounded pretty average & tinny. But clearly heard the $10,000 price with no other information about what it can do... or options. I commented she was the worst Car salesman ever and walked out ! Now I'm researching to avoid being ripped off by Audiologists... Thankyou for the very educational videos - keep up the great work 👃👍
I am hard of hearing and trying to research before I purchase (which is what lead me to your channel). This was very informative. I have an audiology appointment scheduled. What are questions I should be asking to let me know they are going to be the provider I need? How does one go about finding the right provider?
My Halloween tombstone will read “RIP Passive Noise Reduction’ Let’s not kid ourselves about remote mics like Roger ON. They still stream most of the noise and are not effective for close distances like around a noisy table. Some remote mics do offer a bit of noise reduction but not enough for tough noise situations. I believe we will see ANC or AI remote mics in the near future. The technology is already evident and in use for camera work and sports broadcasting
But hearing aid noise reduction is most effective when the noise is within the critical distance of the microphones and (mostly) behind the user. Benefits are dependent on the individual’s ability to hear in background noise.
AND patient strategies towards putting the noise behind them. Directional mics don't matter if you're facing the noise; orient yourself with your back to the noise and you'll maximize how much they help you.
These newest hearing aids incorporating AI for multiple-source (background distraction) are just scratching the hearing-solution surface who are ALSO dealing with Autism Spectrum Disorder b/c background noise is not solely a PHYSICAL impediment but ALSO a SENSORY OVERLOAD impediment. Great video today!!
Thank you for this very realistic discussion. Yes. Definitely dealing with Speech in Speech in Background Noise is the major challenge. Unwanted speech invades desired target speech of the person talking only a meter or so away from you, which is further invaded by unwanted background noise seeping in through the domes. Only in some rare scenarios do you have a specific individual identified who you seek to listen to. So, would you reasonably expect that using a directional pointer remote mic sending signal into REM-tuned HA effectively overcome all these competing signal & noise challenges?
The day after I got my Phonak Audeo Sphere Infineo 90I hearing aids, I went to a luncheon where there were 30 people sitting around talking over each other. I spent an hour sitting directly across from a woman having a conversation with her in which I couldn't understand a thing she said! Needless to say, I am completely disappointed with these hearing aids. Total waste of money! Since that day I have been in several situations where the background noise was a huge problem. The Spheres are useless for improving speech in background noise. Another problem with the Phonaks is they won't stay connected to my phone. 😡 And so, those hearing aids live in the case. They will be going back to Phonak.
Dear Doctors, In all of your videos you always talk about meeting the prescriptive target using REM. You never mention anything about the prescription itself. I think it would benefit a lot of your viewers to know a little bit more about the actual target rather than how to meet the actual target. Furthermore it would be nice to know something about the pitfalls of the hearing tests. As the test being the foundation of the prescription and and the verification, there could be potential disasters lurking. By that I mean, it doesn’t really matter if you meet a prescription if it’s the wrong prescription. Thanks for putting these videos out here.
@@DrCliffAuD If you have an 80dB high-frequency hearing loss - how much HF gain does the NAL fitting formula provide? I am happy to send you an article by Dr. Greer Clark and English.
I think you shouldn’t need anybody to setup your hearing aids unless you have an exceptional problem. However you do need an iPhone to link to a database and automate your settings. The autonomous technological disruption is here. Automatically diagnosing sudden Sensori-neural hearing loss (SSHL) will be possible.
Hawaii needs more providers who follows best practices. My audiologist does not do real ear measurement. So sad. How do we get more providers to come here?
Several videos ago you were raving about the Phonac Sphere for background noise reduction. I know you really don’t want to piss off the other manufacturers but what’s with the flip flop ?
I get what you are saying... however, it's still a cop out. So you are saying that - specific to background noise - if I were to go to an audiologist in your best practices network, there is NO DIFFERENCE between any of the major brands as far as background noise? See, I find that hard to believe that all that money that you talk about from all the major brands has resulted in the exact same features, technology, and results when it comes to background noise. Why not actually evaluate different brands in specific situations?
My new Resound Nexia/Beltone Serene 17 are far better than my old Signia Pure 7x but still aren’t perfect in separating speech from background noise. My minor auditory processing deficit doesn’t help especially with words like can and can’t.
i have tenitis but i have excellent hearing i have had the buzzing all my like but my hearing is better then most i always have a fan running this helps any thoughts on why i can hear fine but still have the buzzing
What is the best brand for working on Android? I just got the Starkey AI's and their connectivity is garbage with my Android phone. I can't do the basic things consitantly that a $20 pair of earbuds off of the TikTok shop will do. Thanks!
I see you deleted my same day post commenting on Airpods 4 and their potential value for speech in noise. I really don't mind but that seems a bit petty. As professionals you might feel a bit of obligation to respond, as my comments which IMHO was well researched and I believe can help many people, with little chance for harm. Also you might just have gotten some valuable feedback. I've worn hearing aids for about 40 years and having just returned from the IHS hearing seminar in Louisville, Ky believe hearing technology is advancing more rapidly then even the better informed practitioners, and count yourselves in that category, seem able to keep abreast of.
I KNEW IT, LOL! I figured that the "Best" would actually not state a specific product, but focus more on what provides the best results -- the hearing care provider (audiologist or dispenser). And it's the RIGHT answer. All of the manufacturers do a pretty good job in this area. I have my favorites who I do believe actually do better than the others, but none of it matters if the hearing aids aren't properly programmed in the first place, which can't happen if the provider doesn't first provide a comprehensive hearing evaluation (including speech-in-noise testing to help set expectations on improvement) and best practices fitting protocols, which includes Real Ear Measurements. I wasn't surprised in the least, nor disappointed.
Yes, you certainly can keep deleting me. It is your platform and you seem to have already rejected or ignored my several attempts to make an appointment and get my P90 now I90 Spheres calibrated to your Best Practices Specs in your offices. But I'm confused as to how your game got so small because as I've followed Dr Cliff for years it seemed your game cast a wide net over all possible technologies. There are other places I can report my thoughts and it has already been suggested (not so serious here) that I should do a podcast labeled 'What Dr Cliff doesn't want you to Hear'. You should test and rebut not do a blind cancel. I fear speech with ANC technology is moving faster than you might realize. Even the older AirPod 2 Pro doesn't work as well as the brand new 4. I'll pass this entire thread to my Audiologist, let him do some testing and get his objective measurements.
You explain very well, I want to thank you from the bottom of my heart. There is a great need for such audiologists in the whole world. If I had met you, I would have explained my problem to you. Time has passed in my life, I have been successful, but now I am just living a normal life.
I went from wearing the Oticon More HA's to the Oticon Intent HA's last April. I notice a distinct advantage with the new Intents in noisy environments like a restaurant. With the new ability to adjust the EQ settings in the four different programs I can really improve my ability to understand conversation in a challenging environment. I have moderately severe hearing loss and have worn hearing aids for 23 years. I am also an active musician playing trumpet in several public venues. My audiologist has developed a special music program for me that really helps to hear without the frequency disturbance of modulating sound by turning off the Feedback Shield. I am amazed at the new technology which allows me to still participate in the things that I have always loved to do which is instrumental and vocal music.
This discussion does not describe any particular hearing aid - the emphasis is having an expert adjust the hearing aid to your individual needs. But what they could describe but did not, is what different hearing aids provide to the audiologist for tweaking. For instance, Phonak has a lot of bells and whistles that offer the audiologist options for tweaking, but the Oticon Trent has some innate capacity at high frequencies that the Phonak Sphere Infinity cannot replicate. Which is more advantageous is person dependent.
While the sound on my devices is great most of the time, i really appreciate additional microphones in noisy situations. There is so much less listening effort and anxiety involved. I have a great Hearing Up audiologist , Scot Frink, AuD, who listens to my preferences and I believe I have the best devices for me at this time.
As a blind hearing aid user this is a topic that is incredibly close to my heart, as is all the AI that hearing aids use these days and how that changes my world around me. In fact if you are willing, I'd love to do an episode with you guys at some point and really pick apart what a blind hearing aid user does and does not want their hearing aids to do, since I'm sure it is really quite different from what a sighted person might want.
The bottom line folks is to get a top-notch audiologist. The problem there is we don't know who is good and who is not.
I drive 45 miles for my HearingUP AUD in Florida. HearingUp providers are part of Dr. Cliffs network and all due comprehensive Best Practices. You wont regret it.
@@gbkworfI have went to my audiologist on his list for 8 years and they don't do half of what he talks about. They just pay him to be on their list. Most are like a car dealer. Once you brought the “ride” you don't get the service or time you need.
Totally agree, the Audiologist can make Or break the outcome. A few months back I went to one for my first hearing aid & test - sounded pretty average & tinny. But clearly heard the $10,000 price with no other information about what it can do... or options. I commented she was the worst Car salesman ever and walked out !
Now I'm researching to avoid being ripped off by Audiologists...
Thankyou for the very educational videos - keep up the great work 👃👍
Spend a couple weeks reviewing his videos, then find someone in his network. I drive 45 miles for my HearingUP AUD in Florida.
Phonak Infinio Sphere and Oticon as a runner-up....
real MVP.
Thank you for TLDR
Good to know this.
I am hard of hearing and trying to research before I purchase (which is what lead me to your channel). This was very informative. I have an audiology appointment scheduled. What are questions I should be asking to let me know they are going to be the provider I need? How does one go about finding the right provider?
My Halloween tombstone will read “RIP Passive Noise Reduction’
Let’s not kid ourselves about remote mics like Roger ON. They still stream most of the noise and are not effective for close distances like around a noisy table. Some remote mics do offer a bit of noise reduction but not enough for tough noise situations. I believe we will see ANC or AI remote mics in the near future. The technology is already evident and in use for camera work and sports broadcasting
But hearing aid noise reduction is most effective when the noise is within the critical distance of the microphones and (mostly) behind the user. Benefits are dependent on the individual’s ability to hear in background noise.
AND patient strategies towards putting the noise behind them. Directional mics don't matter if you're facing the noise; orient yourself with your back to the noise and you'll maximize how much they help you.
These newest hearing aids incorporating AI for multiple-source (background distraction) are just scratching the hearing-solution surface who are ALSO dealing with Autism Spectrum Disorder b/c background noise is not solely a PHYSICAL impediment but ALSO a SENSORY OVERLOAD impediment. Great video today!!
Thank you for this very realistic discussion. Yes. Definitely dealing with Speech in Speech in Background Noise is the major challenge. Unwanted speech invades desired target speech of the person talking only a meter or so away from you, which is further invaded by unwanted background noise seeping in through the domes. Only in some rare scenarios do you have a specific individual identified who you seek to listen to. So, would you reasonably expect that using a directional pointer remote mic sending signal into REM-tuned HA effectively overcome all these competing signal & noise challenges?
The day after I got my Phonak Audeo Sphere Infineo 90I hearing aids, I went to a luncheon where there were 30 people sitting around talking over each other. I spent an hour sitting directly across from a woman having a conversation with her in which I couldn't understand a thing she said! Needless to say, I am completely disappointed with these hearing aids. Total waste of money! Since that day I have been in several situations where the background noise was a huge problem. The Spheres are useless for improving speech in background noise. Another problem with the Phonaks is they won't stay connected to my phone. 😡 And so, those hearing aids live in the case. They will be going back to Phonak.
Dear Doctors,
In all of your videos you always talk about meeting the prescriptive target using REM. You never mention anything about the prescription itself. I think it would benefit a lot of your viewers to know a little bit more about the actual target rather than how to meet the actual target.
Furthermore it would be nice to know something about the pitfalls of the hearing tests. As the test being the foundation of the prescription and and the verification, there could be potential disasters lurking. By that I mean, it doesn’t really matter if you meet a prescription if it’s the wrong prescription.
Thanks for putting these videos out here.
Truth is that the prescription only corrects less than 50% of the degree of hearing loss.
Please explain, I've never heard this before.
@@DrCliffAuD If you have an 80dB high-frequency hearing loss - how much HF gain does the NAL fitting formula provide?
I am happy to send you an article by Dr. Greer Clark and English.
@@juliettesterkens721 would depend on the input level, frequency, and which NAL Rx. Happy to read the article.
@@DrCliffAuD I just sent it.
TLDL. I want forward pointing directional microphones. On my glasses would be ideal.
Thanks
Assuming I have the best hearing aid provider, currently what would be the best hearing aid for background noise cancelation?
Thank you for this important info
I would very much like to finde the article you mentiond by levit and flexor
Where was it published?
I think you shouldn’t need anybody to setup your hearing aids unless you have an exceptional problem. However you do need an iPhone to link to a database and automate your settings.
The autonomous technological disruption is here. Automatically diagnosing sudden Sensori-neural hearing loss (SSHL) will be possible.
Hawaii needs more providers who follows best practices. My audiologist does not do real ear measurement. So sad. How do we get more providers to come here?
Canada needs one or more providers who follows best practices
Refuse to go to providers who do not perform REMs. Eventually they will have to comply or go out of business.
Several videos ago you were raving about the Phonac Sphere for background noise reduction. I know you really don’t want to piss off the other manufacturers but what’s with the flip flop ?
I get what you are saying... however, it's still a cop out. So you are saying that - specific to background noise - if I were to go to an audiologist in your best practices network, there is NO DIFFERENCE between any of the major brands as far as background noise? See, I find that hard to believe that all that money that you talk about from all the major brands has resulted in the exact same features, technology, and results when it comes to background noise. Why not actually evaluate different brands in specific situations?
My new Resound Nexia/Beltone Serene 17 are far better than my old Signia Pure 7x but still aren’t perfect in separating speech from background noise. My minor auditory processing deficit doesn’t help especially with words like can and can’t.
i have tenitis but i have excellent hearing i have had the buzzing all my like but my hearing is better then most i always have a fan running this helps any thoughts on why i can hear fine but still have the buzzing
What is the best brand for working on Android? I just got the Starkey AI's and their connectivity is garbage with my Android phone. I can't do the basic things consitantly that a $20 pair of earbuds off of the TikTok shop will do. Thanks!
I see you deleted my same day post commenting on Airpods 4 and their potential value for speech in noise. I really don't mind but that seems a bit petty. As professionals you might feel a bit of obligation to respond, as my comments which IMHO was well researched and I believe can help many people, with little chance for harm. Also you might just have gotten some valuable feedback.
I've worn hearing aids for about 40 years and having just returned from the IHS hearing seminar in Louisville, Ky believe hearing technology is advancing more rapidly then even the better informed practitioners, and count yourselves in that category, seem able to keep abreast of.
It is a pity that the cross devices are not tested. That there is no comparison between the different brands!
Guys, I can not believe the way you all skirted the issue of the new Phonak Sphere!
what is the issue?
Very longer time u comeback mr doctor cliff
I wish in my hearing aid practitioner course taught this
I do REM everytime and the client hates how their voices sound but I need to do quiksin more
I KNEW IT, LOL! I figured that the "Best" would actually not state a specific product, but focus more on what provides the best results -- the hearing care provider (audiologist or dispenser).
And it's the RIGHT answer. All of the manufacturers do a pretty good job in this area. I have my favorites who I do believe actually do better than the others, but none of it matters if the hearing aids aren't properly programmed in the first place, which can't happen if the provider doesn't first provide a comprehensive hearing evaluation (including speech-in-noise testing to help set expectations on improvement) and best practices fitting protocols, which includes Real Ear Measurements.
I wasn't surprised in the least, nor disappointed.
bait and switch clickbait title.
A MUNDET DISHUSH TE ME NDIHMOJE PIIIIIIIII 😭 jam 28 vjeq.
42 minutes and no answer to the video title... "BEST Hearing Aid for Background Noise?" Don't waste peoples time.
Yes, you certainly can keep deleting me. It is your platform and you seem to have already rejected or ignored my several attempts to make an appointment and get my P90 now I90 Spheres calibrated to your Best Practices Specs in your offices. But I'm confused as to how your game got so small because as I've followed Dr Cliff for years it seemed your game cast a wide net over all possible technologies. There are other places I can report my thoughts and it has already been suggested (not so serious here) that I should do a podcast labeled 'What Dr Cliff doesn't want you to Hear'. You should test and rebut not do a blind cancel. I fear speech with ANC technology is moving faster than you might realize. Even the older AirPod 2 Pro doesn't work as well as the brand new 4.
I'll pass this entire thread to my Audiologist, let him do some testing and get his objective measurements.