Subject: Re: Yet again on hearing aids - The Marriage of System and Desire From: "Richard H." <auditory(at)AUGMENTICS.COM> Date: Mon, 29 Mar 2004 15:02:30 +0100This is a multi-part message in MIME format. ------=_NextPart_000_000B_01C4159E.DB5F79E0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable One trivial point: in some cases the clients "desired" fit is = "incorrect" - with some people a less "comfortable" aid programming in = fact gives them the best level of speech perception. I wonder which one the audiologist should fit???? regards, Richard ----- Original Message -----=20 From: Harriet B Jacobster=20 To: AUDITORY(at)LISTS.MCGILL.CA=20 Sent: Monday, March 29, 2004 2:47 PM Subject: Re: Yet again on hearing aids - The Marriage of System and = Desire I hope that all of us on this list who work with the hearing impaired = and fit hearing aids are quite aware of the fact that we must indeed fit = to both the ability of the "system" and the "desire" of the individual = listener. And, yes, Barbara you are quite right in the fact that one = fits Alzheimer's patient quite differently from the professional = musician. You are not alone in this assumption and there are many of us = here who are extremely successful in our fittings as well. Your = references, tho a bit overkill, are greatly appreciated. And Tom, too = is correct in his statement that we have an auditory system that is not = working correctly and doesn't want to respond to the desire so we have = certain "prescriptions" to follow. I belong to an association of both = professional and amateur musicians with hearing loss and their concerns = are evidence of that fact...that as strong as the desire is, when you = have a cochlea with dead or physiologically- challenged regions, you can = have all the neurotransmitters and synapses and psychological desire as = possible, but that person is just not going to get the same "timbre" and = effect that s/he desires, but only a gross approximation, because of = both the limitations of the pathological ear and the hearing device. =20 We are limited in achieving our perceptual desires by two very = important facts: a nonfunctioning entry point of sound (the cochlea) and = the "tool" we use to correct this (the hearing aid). I won't even = address here the issues of auditory dys-synchrony or central = disorders...that truly would be opening another can or worms. =20 The truly successful fit is one that manages to blend both the = physical system and the psychological desire to optimize both given the = very obvious limitation. And we will always have ITD hearing aids no matter how well we fit = them. =20 JMHO ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Harriet Jacobster, Au.D., CCC-A, FAAA Board Certified in Audiology --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.631 / Virus Database: 404 - Release Date: 17/03/04 ------=_NextPart_000_000B_01C4159E.DB5F79E0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML><HEAD> <META http-equiv=3DContent-Type content=3D"text/html; = charset=3Diso-8859-1"> <META content=3D"MSHTML 6.00.2800.1400" name=3DGENERATOR> <STYLE></STYLE> </HEAD> <BODY style=3D"FONT-SIZE: 10pt; FONT-FAMILY: Arial; BACKGROUND-COLOR: = #ffffff"=20 bgColor=3D#ffffff> <DIV>One trivial point: in some cases the clients "desired" fit is = "incorrect" -=20 with some people a less "comfortable" aid programming in fact gives them = the=20 best level of speech perception.</DIV> <DIV> </DIV> <DIV>I wonder which one the audiologist should fit????</DIV> <DIV> </DIV> <DIV>regards,</DIV> <DIV> </DIV> <DIV>Richard</DIV> <DIV><BR> </DIV> <BLOCKQUOTE dir=3Dltr=20 style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; = BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px"> <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV> <DIV=20 style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: = black"><B>From:</B>=20 <A title=3DHjacobster(at)aol.com = href=3D"mailto:Hjacobster(at)aol.com">Harriet B=20 Jacobster</A> </DIV> <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A = title=3DAUDITORY(at)LISTS.MCGILL.CA=20 href=3D"mailto:AUDITORY(at)LISTS.MCGILL.CA">AUDITORY(at)LISTS.MCGILL.CA</A> = </DIV> <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Monday, March 29, 2004 = 2:47=20 PM</DIV> <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Yet again on = hearing aids -=20 The Marriage of System and Desire</DIV> <DIV><BR></DIV> <DIV> <DIV>I hope that all of us on this list who work with the hearing = impaired and=20 fit hearing aids are quite aware of the fact that we must indeed fit = to both=20 the ability of the "system" and the "desire" of the individual = listener. =20 And, yes, Barbara you are quite right in the fact that one fits = Alzheimer's=20 patient quite differently from the professional musician. You are = not=20 alone in this assumption and there are many of us here who are = extremely=20 successful in our fittings as well. Your references, tho a bit = overkill,=20 are greatly appreciated. And Tom, too is correct in his = statement that=20 we have an auditory system that is not working correctly and doesn't = want to=20 respond to the desire so we have certain "prescriptions" to = follow. I=20 belong to an association of both professional and = amateur musicians with=20 hearing loss and their concerns are evidence of that fact...that as = strong as=20 the desire is, when you have a cochlea with dead or physiologically-=20 challenged regions, you can have all the neurotransmitters and = synapses=20 and psychological desire as possible, but that person is just not = going to get=20 the same "timbre" and effect that s/he desires, but only a gross=20 approximation, because of both the limitations of the pathological ear = and the=20 hearing device. </DIV> <DIV> </DIV> <DIV>We are limited in achieving our perceptual desires by two very = important=20 facts: a nonfunctioning entry point of sound (the cochlea) and the = "tool" we=20 use to correct this (the hearing aid). I won't even address here = the=20 issues of auditory dys-synchrony or central disorders...that truly = would be=20 opening another can or worms. </DIV> <DIV> </DIV> <DIV>The truly successful fit is one that manages to blend both the = physical=20 system and the psychological desire to optimize both given the very = obvious=20 limitation.</DIV> <DIV> </DIV> <DIV>And we will always have ITD hearing aids no matter how well we = fit=20 them. </DIV> <DIV> </DIV> <DIV>JMHO</DIV> <DIV> </DIV> <DIV> </DIV> <DIV> </DIV> <DIV> </DIV></DIV> <DIV> </DIV> <DIV><FONT lang=3D0 face=3D"Century Gothic" size=3D3 PTSIZE=3D"12"=20 FAMILY=3D"SANSSERIF">~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<BR></FONT><FONT = lang=3D0=20 face=3D"Century Gothic" color=3D#000080 size=3D3 PTSIZE=3D"12"=20 FAMILY=3D"SANSSERIF"><I>Harriet Jacobster, Au.D., CCC-A, FAAA<BR>Board = Certified=20 in Audiology</I></FONT></DIV> <DIV> </DIV> <DIV><FONT lang=3D0 face=3D"Century Gothic" color=3D#000080 size=3D3 = PTSIZE=3D"12"=20 FAMILY=3D"SANSSERIF"><I><BR>---<BR>Outgoing mail is certified Virus=20 Free.<BR>Checked by AVG anti-virus system (<A=20 = href=3D"http://www.grisoft.com">http://www.grisoft.com</A>).<BR>Version: = 6.0.631=20 / Virus Database: 404 - Release Date:=20 17/03/04</I></FONT></DIV></BLOCKQUOTE></BODY></HTML> ------=_NextPart_000_000B_01C4159E.DB5F79E0--