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Moderate severe to severe with low word recognition

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I’m another that recommends you go for a evaluation. This will give you far more information about your hearing loss than what your tells you. There’s absolutely no obligation to go any further if you don’t wish to.

I went for an evaluation for CI, then I sat on the fence for 18 months. Do I or don’t I, I just couldn’t make up my mind. I had absolutely no pressure from the CI clinic at all. In this 18 months I did a heap of research about CI, and the 3 companies. In the end I did go ahead and get a R) CI. I didn’t have to have another evaluation in that hiatus period. I will say it’s the best thing I’ve ever done. My score went from 26% to 94% in the 12 months post op. I’ve got my life back, and life’s wonderful once again.

Would you tell me more about the word recognition therapy. What kind of therapy is it? My word recognition is pretty bad. I have worn hearing aids for years and I would work hard if there were therapies that would help me hear words better

So the first question that came to mind is what is your score (both ears together)? most the time it will improve up to 20% or so. Though not always true if it wasn’t tested how would you know! And personally I would say yes there are hearing aids that could help with that hearing loss. Thisi s why we test binaural word recognition. Also ’s usually require that good hearing aids are tried first.

Edited

In reply to @agv1024

What is acoustic coupling with your hearing aids?Domes, earmolds? If earmolds, what is diameter of the venting in milimeters?

Have your hearing aids been fitted based on procedure? (Real Ear Measurement)?

Before getting (I have it), there MUST be a necessity of making sure the basics of the fitting of your hearing aids are as optimized as possible.

Maybe simply you could be enough with these:

  1. More closed earmold
  2. Slightly shorter wire? (for better directivity, through better two-microphone horizontal alignment)
  3. REM-based fitting

Possibly:

all of above + trial with the new hearing aid like Phonak Audeo Infinio Sphere 90 if it is affordable for you.

(the new Oticons will be probably at the beginning of the 2026)

Regarding auditory therapy, there is LACE pro, much advertised in Dr Cliff channel, which has also discount code under his videos about that app.

IIRC, Soundly channel also sell the app with a discount code.

I didn’t tested that app.

In reply to @cvkemp

That’s awesome! That therapy description is grueling. You’re to be commended for pushing through it!

I had good word recognition scores on my , but I was straining hard to hear the words and had no distractions at all. Since I got my hearing aids last month, I’ve realized how fatigued the effort to hear without them had been making me.

In reply to @Raudrive

Unfortunately, your experience may be what happens at the location(s) you frequent, but not at every Costco. It would be great if all circumstances at all Costco hearing service centers were ideal. I’d definitely consider going to Costco in my area to check things out, when the time comes for a new pair of - or a backup pair!

Hi there, after Chuck mention speech therapy, I became interested because my word recognition is terrible about 30 percent. I wear paradise Naida UP 90s and was highly recommended which I turned down because of no guarantee of hearing improvement at my age 79. I found an article on auditory training which has a lot of good info written in 2015 I’m sure there has been a lot of improvement in the area. When CI was recommended there was no mention of auditory training. Back in 2012 I was given a CD on auditory training I worked on exercises but had to give it back. It helped but like Chuck said it is a lot of hard work. Maybe that is why most audiologists do not recommend the training. The article is kind of a long read but most informative especially when it stated that only 10 percent of audiologists recommend the training.
Auditory Training for Adults.pdf (130.2 KB)

My word recognition in the booth testing was very good, but in real-world situations it sometimes takes a few seconds to grasp some words. I think my hearing aids will change this. I’ve only had them a month. That being the possibility does not change my interest in the article you provided one bit! I look forward to reading it, and I appreciate your having provided it.

If your question is directed to me, I have Phonak Infinio 50, the first I’ve ever had. I’ve had them for just over a month.

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