We understand that quality matters most to patients. That is why we invest the necessary time and resources to achieve the best and most comfortable outcomes from the best aided-hearing technology currently available.

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BEST PRACTICES AT NYHD | INSTITUTE FOR HEARING AND BALANCE

PROCESS

Using various testing to assess patients, our doctors are equipped to make appropriate recommendations to optimize successful patient outcomes and to measure hearing aid performance.

VERIFICATION

Real Ear Measurement is one of the many Best Practice procedures offered at NYHD that lead to treatment success rates significantly above the industry average.

TECHNOLOGY

NYHD doctors will work to fit your hearing aid based on concrete scientific data as well as one-on-one discussion and in-the-moment adjustment to create the best possible hearing aid output for your specific loss and personal preferences.

Our Hearing Aid Fitting Process

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Comprehensive Audiological Evaluation +

A successful hearing aid fitting begins with a thorough understanding of each patient’s current auditory status using the Blueprint Method. A standard complete audiological evaluation, consisting of air and bone conduction threshold, speech threshold, and word recognition tests is performed, but we opt for additional testing to prepare for the real-life circumstances in which our patients plan to hear.

listening-in-noise ability test

The chief complaint of many patients is difficulty hearing a nearby speaker in the presence of background noise. That’s why at NYHD, this additional test assesses each patient’s listening in noise ability creating a clearer picture of how we can support our patients in all environments.

upper loudness tolerance test

Additionally, the upper loudness tolerance of each patient’s hearing must be carefully measured in order to provide a comfortable and safe experience for potential hearing aid candidates. These will serve as “hard stop” levels that hearing aids will be programmed to never exceed, a reassuring fact for our patients familiar with the dynamic soundscape of New York; a well-fit hearing aid will amplify in the way you need help, but this test prevents us from over-assisting with the available technology.

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Best Practices Guide our Hearing Aid Fittings

Should you and your doctor agree that hearing aids are the best solution for you, you’ll begin a process defined by best practices that exceed minimum requirements and focus on helping you make the most of your hearing; this will happen over a series of carefully structured visits.

OUR NYHD 45-day Fitting SEQUENCE

This includes a carefully planned set of four appointments, allowing ample time for you and your audiologist to work together to maximize the efficacy of your devices. This period of fitting and programming is one of the most crucial stages in your treatment, as it requires precise adjustments tailored to your specific hearing needs. Many measurements and assessments will be performed during this period, which can be broken down into 3 categories: Objective Measurements, Subjective Assessments, and Aided/ Functional testing.

Objective Measurements

Electroacoustic analysis of hearing instruments

Probe microphone measurements

Real Ear Measurements to verify device output

Subjective Assessments

Client Oriented Scale of Improvement (COSI)

Profile of Hearing Aid Benefit (APHAB)

Tinnitus Handicap Inventory (THI)

Tinnitus Functional Index (TFI)

Functional testing

Pure tone thresholds

Speech audiometry

Listening in noise

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By the end of your 45-Day Best Practice Fitting sequence, you will have a clear understanding of how well you can hear the world with your hearing aids. We measure and verify every component of your hearing treatment to ensure a high quality, consistent hearing experience for years to come.

The Importance of Real Ear Measurements

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Real Ear Measurement (REM)

To truly hear your best with your hearing aids, they need to be programmed using Real Ear Measurement (REM). REM is a verification method performed by our Doctors of Audiology to ensure your hearing aids meet your specific hearing loss prescription for the required amplification.

THE REM PROCESS

During REM, our audiologists place probe microphone tubes inside your ears to measure the actual amplification you are receiving from your hearing aids.

Then, they adjust the manufacturer programming software to precisely match your prescriptive targets.

Individuals whose hearing aid programming is verified with Real Ear Measurement not only perceive better sound quality but also understand speech significantly better in both quiet and noisy environments.

The Technology

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Improving Communication In A Variety Of Settings

The hearing aid technology plays a critical role in the process of rehabilitating a patient’s hearing loss and in having a successful hearing aid fitting process. Our Doctors of Audiology remain at the forefront of hearing aid technology developments and offer a wide range of solutions that are tailored to each patient’s individual needs.

selecting the right device

The appropriate style of hearing aid is dependent upon patient preference, patient goals, and a variety of factors related to hearing loss and the anatomy of your ear.

The style of the hearing aid will determine whether the hearing aid is rechargeable or battery powered, whether there is user control and connectivity to the hearing aid, availability of directional microphones, compatibility with assistive listening, ease of handling the devices, as well as visibility of the hearing aids. Not all types of hearing aids support all kinds of hearing loss; your doctor will help narrow your options to what’s appropriate for you.

Once you’re fit with your devices, we’ll see you at three subsequent visits for refinement of our original programming.. Our team loves to see excellent outcomes, and we look forward to working with you and for you on your hearing journey.

Latest Google Reviews

How often should I have my hearing tested?

Its recommended to have your hearing tested annually, especially if youre over 50 or work in a noisy environment. Regular hearing tests allow for early detection of hearing loss and prompt intervention if needed.

Can hearing aids help with tinnitus?

Yes, many modern hearing aids come with tinnitus masking features. These can help reduce the perception of ringing or buzzing in your ears by providing soothing background sounds or amplifying environmental noises to mask the tinnitus.

Are hearing aids waterproof?

While most hearing aids are water-resistant, very few are fully waterproof. In fact, even a model that claims to be waterproof may still be susceptible to moisture. Its best to remove your hearing aids before swimming or showering. However, many models can withstand light rain or sweat during exercise.

How long does a hearing aid battery typically last?

The lifespan of hearing aid batteries varies depending on the size and type of hearing aid, as well as your usage. On average, disposable batteries last 3-7 days, while rechargeable batteries can last 24-30 hours on a single charge.

Can I sleep with my hearing aids in?

Its generally not recommended to sleep with your hearing aids in. Removing them at night allows your ears to breathe and helps prevent moisture buildup. It also extends the life of your hearing aids by giving them a break from constant use.

How do I clean my hearing aids?

Clean your hearing aids daily with a soft, dry cloth. Use a wax pick or brush to remove any earwax buildup. Avoid using water or cleaning solvents, as these can damage the delicate components.

Can hearing aids connect to my smartphone?

Nearly all modern digital lhearing aids offer Bluetooth connectivity, allowing you to stream audio directly from your smartphone. This feature enables you to take calls, listen to music, or use navigation apps through your hearing aids.

How long does it take to adjust to new hearing aids?

The adjustment period varies for each individual, but our practice utiilizes a 45-day Fitting Sequence to gradually work through that adjustment period, building the patient up to full volume and making adjustments for comfort over multiple appointments. Patience and consistent use are key to a successful adjustment.

Are there different programs in hearing aids for different environments?

Yes, most modern hearing aids have multiple programs designed for various listening environments such as quiet rooms, noisy restaurants, or outdoor settings. Some advanced models can even automatically adjust to your surroundings.

How often should I have my hearing aids professionally cleaned and checked?

Its recommended to have your hearing aids professionally cleaned and checked every 4-6 months. This ensures theyre functioning optimally and allows for any necessary adjustments or repairs to be made.

How can I tell if Im experiencing hearing loss?

Common signs include difficulty understanding conversations in noisy environments, frequently asking people to repeat themselves, and turning up the volume on TV or radio higher than others prefer, or others noticing a decline in your hearing or an increase in the volume of your speech. It can be challenging to notice a gradual change in your own hearing, which is why we recommend hearing tests to our patients.

Can hearing loss be prevented?

While some causes of hearing loss are unavoidable, you can protect your hearing by avoiding excessive noise exposure, using ear protection in loud environments, and maintaining overall health.

Is hearing loss always permanent?

Not always. Some types of hearing loss, such as those caused by earwax buildup or ear infections, can be temporary and treatable.

Can stress cause hearing loss?

While stress itself doesnt directly cause hearing loss, chronic stress can contribute to tinnitus and may exacerbate existing hearing problems.

Are there different types of hearing loss?

Yes, the main types are sensorineural (inner ear problems), conductive (outer or middle ear issues), and mixed hearing loss. Your audiologist can discuss your specific hearing loss with you.

Can hearing loss affect balance?

Yes, the inner ear is responsible for both hearing and balance, so some types of hearing loss can affect your balance.

Is hearing loss hereditary?

Some forms of hearing loss can be genetic, but environmental factors also play a significant role.

Can certain medications cause hearing loss?

Yes, some medications are ototoxic and can cause or worsen hearing loss. Always discuss potential side effects with your doctor.

How does noise-induced hearing loss occur?

Noise-induced hearing loss happens when loud sounds damage the hair cells in the inner ear, which can occur from both sudden loud noises or prolonged exposure to moderate noise levels.

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