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I have profound hearing loss both ears. I wear Beltone Boost Plus 1795. Is there a better brand for one-on-one conversation? Any other suggestions for better speech understanding?

Clifford Olson, AuD

Audiologist in Anthem

05 May 2017 - 1.25K Views

There are not a lot of differences between hearing aids when it comes to understanding speech better in a one-on-one situation.  Particularly in a quiet situation.  In-order-to answer this question properly, 3 pieces of information need to be identified.

1.       What is your Word Recognition Score?

          Your Word Recognition Score is a percentage of correct words that you get when you are tested at an audible level.  If you have a low percentage correct score, then you will likely receive similar results from even the most expensive hearing aid on the market.  If you are REALLY LOW on this score (>40%), you may be a candidate for a Cochlear Implant and should be evaluated for candidacy.

2.       What is your Speech in Noise Score (Quick SIN)?

          If you have mild SNR loss (3-6 dB) then you would likely receive benefit from a high-quality hearing aid.  If you have a moderate loss (7-12 dB) then you may experience problems even with a high-quality hearing aid.  If you have greater than 12 dB SNR loss then you would likely struggle significantly without a remote microphone or FM system used in conjunction with your hearing aids.

3.       Are you programmed to your prescriptive targets?

          If a hearing aid is not programmed properly, it doesn’t matter how good of a hearing aid you have.  The only way to properly verify that a hearing aid is meeting your prescription is to have Real Ear Measures done.  These are performed by inserting small rubber probe tips into your ears along with your hearing aids, and measuring the volume of the aids.  It is estimated that less than 30% of hearing care providers actually use Real Ear Measures.

Long story short, this question is impossible to answer well without the answers to these 3 key pieces of information.

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Member
Member 05 May 2017
My HIS never tested Word Recognition Score or Speech in Noise. At least she never told me that she did. She ordered Beltone [ReSound} Boost 1795 which are the most powerful HA made. When I use My Phone Clip & TVLink2 I do pretty well with streaming paired to my Remote to hear Phone and TV voice. I also have the MyPal pro Microphone but that does not do well. I do not want implant at my age {78}. Perhaps the new medication to grows ear hair cells will work when it is available expected next year
Clifford Olson
Clifford Olson 05 May 2017 Replied to Member
She may have tested those things and made the proper recommendation at the time. I can understand if you don't want to consider an implant, but age is not a good reason. There are implant users who receive them well into their 90s with great success and surgery is outpatient/quick/largely painless. I strongly encourage you to have Real Ear Measures completed to ensure you are programmed properly. I would not put all your eggs in the basket of a new medication for the growth of hair cells. We are likely MANY years away from that if it ever does become a reality.
Member
Member 05 May 2017 Replied to Clifford Olson
I was under the impression that implants required hospitalization. I read that if the implant procedure is not successful you lost any hearing that you did have before. I have no living relatives and no close relationships. I go days without talking with anyone. I am deaf without the Aids. The Boost1795 are a blessing but I would love to be able to understand speech more clearly I will ask my HIS about the REM
Clifford Olson
Clifford Olson 05 May 2017 Replied to Clifford Olson
You are correct, if an implant procedure is unsuccessful, you would lose hearing in that ear. However, the rates for unsuccessful implants are VERY low. Often, implant clinics will hold seminars to clear up misinformation about implants. You are wise to check on REM. Best of luck!

Mark Conradt, AuD

Doctor of Audiology in Neenah

05 May 2017 - 1.26K Views

I would consider asking about a hearing aid with a "remote microphone" so the person you are talking to can speak directly into the microphone. Since Beltone is owned by ReSound and ReSound has a remote microphone option, you may want to ask if it is available in the Beltone product.

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Member
Member 05 May 2017
I do have the MyPal Pro but it is not very good. I really have excellent results with the TVLink2 - Phone Clip and Remote2.
Abram Bailey
Abram Bailey 05 May 2017
Mark, it looks like Beltone Boost is compatible with the myPAL Micro and myPAL Pro, which is similar to ReSound Multi Mic and Micro Mic.

Josh Holthusen

Hearing Healthcare Provider in Wichita

08 May 2017 - 1.22K Views

If you are wearing a Boost, you have a profound hearing loss.  The Boost is the most powerful hearing aid that Beltone makes.  Generally hearing aid users complain more about speech in noise and do just fine in one-to one conversation.  With the struggle you are describing, I would agree with a previous post that you should know what your word recognition scores are.  Ask your hearing healthcare provider to explain your scores and what type of results you should be having while wearing your hearing aids.  Your word recognition scores reflect your ability to process the words after the hearing aid has done it's job.  Sometimes when a person has been deprived of hearing properly for many years, our auditory nerve and brain suffer from lack of stimulation and they no longer function as well.  Your age may be a factor as well.  This is a difficult conversation to have with a patient, but as we age, we have a harder time understanding in general, particularly when we get distracted by other noises.  Beltone makes a device called a MyPal.  This wireless device is compatible with your hearing aids and can help tremendously with understanding (particularly one one one).  It is a great accessory and those with profound hearing loss see a real benefit.

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Don H.
Don H. 15 May 2018
I have all the accessories. Remote-TV Streamer- Phone Clip- MyPal Pro. I hear fairly well using these but when speaking with another person it is not very good. Word recognition is terrible. Guess I just have to accept the fact that my hearing is what it is. Thanks to everyone that replied

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05 May 2017 - 1.23K Views

It really depends on a person's loss and their needs. Different hearing aids work for different people. The best thing would be to get a current hearing test and see what the recommendation would be. 

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John Nobile, BC-HIS

Hearing Healthcare Provider in Cape Coral

05 May 2017 - 1.26K Views

The Phonak Niada Ultra Power is very good.

Also Widex has a power aid with more low frequency emphasis that hearing aid users like even more than the Niada.

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Thijs Thielemans, MSc

Clinical Physicist in Audiology in St Michielsgestel

05 May 2017 - 1.27K Views

I get very good results with the Phonak Naida hearing aids, the Q-line and the V-line. 

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Kimberly (Peezie) Allred, AuD

Doctor of Audiology in Lafayette

05 May 2017 - 1.27K Views

I am not familiar with Beltone products, but Resound has a wonderful, very powerful aid (Enzo) that may be more beneficial to you.  Also, have you ever looked into a Cochlear Implant? I would recommend scheduling an appointment with an Audiologist who is familiar with Cochlear Implants so you can become educated on all of your options.

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Member
Member 05 May 2017
+Thanks. Beltone is a subsidiary of ReSound. My Boost Plus 1795 is exactly the same as the ReSound

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