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"?
----- Original Message -----
Sent: Monday, March 29, 2004 3:45
Subject: Re: Yet again on hearing aids -
The Marriage of System and Desire
<<I wonder which one the audiologist should
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.
Anyone who has been in any type of physical therapy knows this
Harriet Jacobster, Au.D., CCC-A,
Board Certified in Audiology
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