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 17:16:10 +0100This is a multi-part message in MIME format. ------=_NextPart_000_0037_01C415B1.8791F1E0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable A further digression: would you say that a basic digital WDRC aid = rapidly programmed using NAL-NL1, IHAFF or whatever would always better = than nothing for a client with a "typical" sensorineural loss? In other words, is the "fine tuning" essential to actually make an aid = usable - or is it just a "nice to have"? regards, Richard ----- Original Message -----=20 From: Harriet B Jacobster=20 To: AUDITORY(at)LISTS.MCGILL.CA=20 Sent: Monday, March 29, 2004 3:45 PM Subject: Re: Yet again on hearing aids - The Marriage of System and = Desire In a message dated 3/29/2004 9:06:33 AM Eastern Standard Time, = auditory(at)AUGMENTICS.COM writes: <<I wonder which one the audiologist should fit????>> Not at all a trivial point, but the bottom-line subject of this = debate. My reply...we are lucky enough in this day and age to have the = option of changing the hearing aid programming. Auditory behavior is = learned and adaptive (for the most part). Fitting a hearing aid is an = essential part of aural rehabilitation, i.e., retraining the auditory = system to hear as close to acceptable norms as possible. Hopefully, by = the time we get the patient, the system is plastic enough so we can = gradually retrain it from "comfortable" without optimal performance to = "comfortable" with optimal performance. Even in those patients with = reduced plasticity, there is still the possibility of adaptive behavior = and function. =20 Anyone who has been in any type of physical therapy knows this = routine. =20 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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_0037_01C415B1.8791F1E0 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" bgColor=3D#ffffff> <DIV>A further digression: would you say that a basic digital WDRC aid = rapidly=20 programmed using NAL-NL1, IHAFF or whatever would always better than = nothing for=20 a client with a "typical" sensorineural loss?</DIV> <DIV> </DIV> <DIV>In other words, is the "fine tuning" essential to actually make an = aid=20 usable - or is it just a "nice to have"?</DIV> <DIV> </DIV> <DIV>regards,</DIV> <DIV> </DIV> <DIV>Richard</DIV> <DIV> </DIV> <DIV> </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 = 3:45=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>In a message dated 3/29/2004 9:06:33 AM Eastern Standard Time, <A = href=3D"mailto:auditory(at)AUGMENTICS.COM">auditory(at)AUGMENTICS.COM</A>=20 writes:</DIV> <DIV><BR><<I wonder which one the audiologist should=20 fit????>></DIV> <DIV><BR>Not at all a trivial point, but the bottom-line subject of = this=20 debate. My reply...we are lucky enough in this day and age to = have the=20 option of changing the hearing aid programming. Auditory = behavior is=20 learned and adaptive (for the most part). Fitting a hearing aid = is an=20 essential part of aural rehabilitation, i.e., retraining the auditory = system=20 to hear as close to acceptable norms as possible. Hopefully, by = the time=20 we get the patient, the system is plastic enough so we can gradually = retrain=20 it from "comfortable" without optimal performance to "comfortable" = with=20 optimal performance. Even in those patients with reduced = plasticity,=20 there is still the possibility of adaptive behavior and = function. =20 <BR><BR>Anyone who has been in any type of physical therapy knows this = routine. =20 <BR><BR>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<BR>Harriet Jacobster, Au.D., = CCC-A,=20 FAAA<BR>Board Certified in Audiology</DIV> <DIV> </DIV> <DIV> </DIV> <DIV><BR>---<BR>Outgoing mail is certified Virus Free.<BR>Checked by = AVG=20 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: = 17/03/04</DIV></BLOCKQUOTE></BODY></HTML> ------=_NextPart_000_0037_01C415B1.8791F1E0--